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NPI Code Detail

MEDICARE: INFINITY-MEDS LLP

MEDICARE: INFINITY-MEDS LLP
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1447674155
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITY-MEDS LLP
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 : 1800 E LAKE SHORE DRIVE
Second Line :
City : DECATUR
State : IL
Zip : 62521-3883
Country : US
Telephone Number : 414-290-6720
Fax Number : 414-290-6755
Authorized Official
Title or Position : PRESIDENT & CHIEF OPERATING OFFICIE
Name : GREGORY A CIERLIK
Credential :
Telephone Number : 414-290-6700
Provider Enumeration Date : 02/17/2014
Last Update Date : 02/17/2014

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Directions to “INFINITY-MEDS LLP ” Practice Location

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