Medfuse Illinois PLLC
Organization Active NPI Infusion Therapy Clinic/Center · Rensselaer, IN
NPI 1972307080 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1972307080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infusion Therapy Clinic/Center 261QI0500X
- Legal business name
- MEDFUSE ILLINOIS PLLC
- Practice address
- 123 S McKinley Ave
Rensselaer, IN 47978-2949 - Phone
- (847) 324-6800
- Fax
- (224) 251-7141
- NPI assigned
- Apr 1, 2025
- Organization subpart
- No
Authorized official
- Name
- Kenneth Goldman
- Title
- Ceo
- Phone
- (847) 324-6800
Corporate family (same tax ID) 1
Practitioners 1
-
Matthew Daniel Dube, M.D.
National Provider Directory
- Tax ID family
- Medfuse Illinois PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Clinic/Center | 261Q00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | Yes |
Addresses
Primary practice location
123 S McKinley Ave
Rensselaer, IN 47978-2949
Mailing address
4711 Golf Rd Ste 900
Skokie, IL 60076-1247
Phone (847) 234-6800
Other names
- Infusacare LLC
Other providers in Rensselaer, IN
- Christine Marie Mahnesmith
- Lauren Manuel
- Markley Chiropractic Inc.
- Mariah N Massey
- Charlene T Maule
- Ann Marie Messman
- Gwen Messman
- Nicole D. M. Miniuk
- Jennifer Minter
- Danielle Molenaar
All providers in Rensselaer, IN · Infusion Therapy Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.