MEDICARE: INFINITY-MEDS URGENT CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1114384153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY-MEDS URGENT CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	111 E WISCONSIN AVE
Second Line	:	SUITE 2000
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-4815
Country	:	US
Telephone Number	:	414-290-6720
Fax Number	:	414-290-6755

Provider Business Practice Location Address
First Line	:	14505 STATE ROUTE 127
Second Line	:
City	:	CARLYLE
State	:	IL
Zip	:	62231-6485
Country	:	US
Telephone Number	:	414-290-6720
Fax Number	:	414-290-6755

Authorized Official
Title or Position	:	CEO
Name	:	GLENN E ALDINGER
Credential	:	M.D.
Telephone Number	:	414-290-6700

Provider Enumeration Date	:	01/21/2016
Last Update Date	:	01/21/2016

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