MEDICARE: INFINITY CARE LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0800X	Psychiatry Physician
2	2084P0804X	Child & Adolescent Psychiatry Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1053615492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY CARE LTD

Provider Business Mailing Address
First Line	:	1507 E 53RD ST
Second Line	:	SUITE 469
City	:	CHICAGO
State	:	IL
Zip	:	60615-4573
Country	:	US
Telephone Number	:	312-659-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	6857 S HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60621-1833
Country	:	US
Telephone Number	:	773-994-8244
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. FELICIA A DAVIS
Credential	:	MD
Telephone Number	:	312-659-7812

Provider Enumeration Date	:	12/28/2010
Last Update Date	:	12/28/2010

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Directions to “INFINITY CARE LTD ” Practice Location

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