| Infinite Care Home Physicians Llc | |
|
2250 E Devon Ave Ste 217 Des Plaines IL 60018-4526 | |
| (847) 238-8300 | |
| (866) 441-1297 |
| Full Name | Infinite Care Home Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2250 E Devon Ave Ste 217, Des Plaines, Illinois |
| Authorized Official Name and Position | Maria Masilang (MANAGING DIRECTOR) |
| Authorized Official Contact | 7738751613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Care Home Physicians Llc 2250 E Devon Ave Ste 217 Des Plaines IL 60018-4526 Ph: (847) 238-8300 | Infinite Care Home Physicians Llc 2250 E Devon Ave Ste 217 Des Plaines IL 60018-4526 Ph: (847) 238-8300 |
| NPI Number | 1104460922 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 7517399942 |
|---|---|
| Medicare Enrollment ID | O20191122001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104460922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Amelia Conte Russian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851338792 PECOS PAC ID: 7416904271 Enrollment ID: I20050405000038 |
| Provider Name | Jose Mario R Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568530400 PECOS PAC ID: 0143231175 Enrollment ID: I20060505000358 |
| Provider Name | Alejandro M Rarang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063534121 PECOS PAC ID: 8527191782 Enrollment ID: I20100809000828 |
| Provider Name | Ernestine M Koehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467710046 PECOS PAC ID: 9335302363 Enrollment ID: I20120531000313 |
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