| Infinite Vitality Ltd | |
|
220 Evergreen Ln Unit B Glen Carbon IL 62034-1754 | |
| (618) 980-3150 | |
| Not Available |
| Full Name | Infinite Vitality Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 220 Evergreen Ln Unit B, Glen Carbon, Illinois |
| Authorized Official Name and Position | Ryan Cleland (MANAGER) |
| Authorized Official Contact | 6189803150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Vitality Ltd 220 Evergreen Ln Unit B Glen Carbon IL 62034-1754 Ph: (618) 980-3150 | Infinite Vitality Ltd 220 Evergreen Ln Unit B Glen Carbon IL 62034-1754 Ph: (618) 980-3150 |
| NPI Number | 1396638912 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396638912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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