| Infinite Medical Center Llc | |
|
220 Evergreen Drive Glen Carbon IL 62034-6203 | |
| (618) 655-0333 | |
| Not Available |
| Full Name | Infinite Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Evergreen Drive, Glen Carbon, Illinois |
| Authorized Official Name and Position | Ryan Cleland (OWNER) |
| Authorized Official Contact | 6189803150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Medical Center Llc 28 Meadow Rue Dr Edwardsville IL 62025-3141 Ph: (618) 980-3150 | Infinite Medical Center Llc 220 Evergreen Drive Glen Carbon IL 62034-6203 Ph: (618) 655-0333 |
| NPI Number | 1013470905 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013470905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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