Provider Demographics
NPI:1104460922
Name:INFINITE CARE HOME PHYSICIANS LLC
Entity type:Organization
Organization Name:INFINITE CARE HOME PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASILANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-875-1613
Mailing Address - Street 1:2250 E DEVON AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4526
Mailing Address - Country:US
Mailing Address - Phone:847-238-8300
Mailing Address - Fax:866-441-1297
Practice Address - Street 1:2250 E DEVON AVE STE 217
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4526
Practice Address - Country:US
Practice Address - Phone:847-238-8300
Practice Address - Fax:866-441-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty