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General NPI Number Information
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NPI Number | 1528762168
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Entity Type | Organization
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Legal Business Name | INFINITE HEART, INC.
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 550 E BOUGHTON RD STE 250
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City | BOLINGBROOK
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State | IL
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Zip | 60440-2257
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Country | US
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Telephone | 815-751-3306
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Fax | 855-634-2217
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Provider Business Mailing Address
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Address Line | 6450 DOUBLE EAGLE DR APT 505
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City | WOODRIDGE
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State | IL
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Zip | 60517-1598
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Country | US
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Telephone | 815-751-3306
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Fax | 855-634-2217
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Authorized Official
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Title or Position | MANAGER
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Name | ERIK ROBERT PECK
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Credential |
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Telephone | 815-764-9072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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