| Infinitus Corporation | |
|
333 N Randall Rd Suite 140 St Charles IL 60174-1500 | |
| (800) 356-3627 | |
| Not Available |
| Full Name | Infinitus Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 N Randall Rd, St Charles, Illinois |
| Authorized Official Name and Position | Moqueet Syed (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6304407786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinitus Corporation 333 N Randall Rd Suite 140 St Charles IL 60174-1500 | Infinitus Corporation 333 N Randall Rd Suite 140 St Charles IL 60174-1500 Ph: (800) 356-3627 |
| NPI Number | 1588044507 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588044507 | NPI | - | NPPES |
| 336069152 | Other | IL | CONTROLLED SUBSTANCE LICENSE |
| 036108385 | Other | IL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036108385 (Illinois) | Primary |
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