Healthcare Provider Details
I. General information
NPI: 1679446645
Provider Name (Legal Business Name): INFINITE SUPPORT GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1130 S CANAL ST STE 1520
CHICAGO IL
60607-5058
US
IV. Provider business mailing address
1130 S CANAL ST STE 1520
CHICAGO IL
60607-5058
US
V. Phone/Fax
- Phone: 331-444-2803
- Fax:
- Phone: 331-444-2803
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
STAMPLEY
JR.
Title or Position: PRESIDENT
Credential:
Phone: 708-715-4713