Provider Demographics
NPI:1528762168
Name:INFINITE HEART, INC.
Entity type:Organization
Organization Name:INFINITE HEART, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-764-9072
Mailing Address - Street 1:6450 DOUBLE EAGLE DR APT 505
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1598
Mailing Address - Country:US
Mailing Address - Phone:815-751-3306
Mailing Address - Fax:855-634-2217
Practice Address - Street 1:550 E BOUGHTON RD STE 250
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2257
Practice Address - Country:US
Practice Address - Phone:815-751-3306
Practice Address - Fax:855-634-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty