NPIMap

Organization Active NPI

Infinite Care Home Physicians LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1104460922
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INFINITE CARE HOME PHYSICIANS LLC
Practice address
2250 E Devon Ave Ste 217
Des Plaines, IL 60018-4526
Phone
(847) 238-8300
Fax
(866) 441-1297
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Masilang
Title
Managing Director
Phone
(773) 875-1613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2250 E Devon Ave Ste 217
Des Plaines, IL 60018-4526

Mailing address

2250 E Devon Ave Ste 217
Des Plaines, IL 60018-4526
Phone (847) 238-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122001755 IL Part B Supplier - Clinic/Group Practice 7517399942 Receives reassigned benefits from 10 practitioners
Practice locations: Des Plaines, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

2250 E Devon Ave
Ste 217
Des Plaines, IL 60018
Phone (847) 238-8300

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1104460922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E DEVON AVE STE 217",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184526",
            "telephone_number": "847-238-8300",
            "fax_number": "866-441-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E DEVON AVE STE 217",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184526",
            "telephone_number": "847-238-8300",
            "fax_number": "866-441-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE CARE HOME PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MASILANG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "773-875-1613"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.