NPI Code Details Logo

NPI 1679446645

NPI 1679446645 : INFINITE SUPPORT GROUP, INC. : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679446645
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INFINITE SUPPORT GROUP, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2025
-----------------------------------------------------
    Last Update Date     |    09/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1130 S CANAL ST STE 1520 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60607-5058
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    331-444-2803
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1130 S CANAL ST STE 1520 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60607-5058
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    331-444-2803
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MR. DAVID  STAMPLEY JR.
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    708-715-4713
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.