Healthcare Provider Details

I. General information

NPI: 1174380885
Provider Name (Legal Business Name): MHN INFUSIONS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1369 E HYDE PARK BLVD UNIT G1
CHICAGO IL
60615-2918
US

IV. Provider business mailing address

1369 E HYDE PARK BLVD UNIT G1
CHICAGO IL
60615-2918
US

V. Phone/Fax

Practice location:
  • Phone: 214-566-8175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FELIX LESHEY
Title or Position: CHAIRMAN
Credential:
Phone: 708-801-8662