Healthcare Provider Details

I. General information

NPI: 1467356766
Provider Name (Legal Business Name): INFINITY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 W DEVON AVE STE 208
CHICAGO IL
60659-5501
US

IV. Provider business mailing address

2335 W DEVON AVE STE 208
CHICAGO IL
60659-5501
US

V. Phone/Fax

Practice location:
  • Phone: 773-879-8364
  • Fax: 773-654-3332
Mailing address:
  • Phone: 773-879-8364
  • Fax: 773-654-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ABIMBOLA AKANNI MOMODU
Title or Position: MANAGING MEMBER
Credential: MSN, APRN, PMHNP-BC
Phone: 773-879-8364