MEDICARE: INFINITY-MEDS LLP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1578987301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY-MEDS LLP

Provider Business Mailing Address
First Line	:	111 E WISCONSIN AVE
Second Line	:	SUITE 2000
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-4815
Country	:	US
Telephone Number	:	414-290-6720
Fax Number	:	414-290-6755

Provider Business Practice Location Address
First Line	:	14505 STATE ROUTE 127
Second Line	:
City	:	CARLYLE
State	:	IL
Zip	:	62231-6485
Country	:	US
Telephone Number	:	414-290-6720
Fax Number	:	414-290-6755

Authorized Official
Title or Position	:	PRESIDENT & CHIEF OPERATING OFFICER
Name	:	GREGORY A CIERLIK
Credential	:
Telephone Number	:	414-290-6700

Provider Enumeration Date	:	02/14/2014
Last Update Date	:	02/14/2014

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Directions to “INFINITY-MEDS LLP ” Practice Location

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