Provider Demographics
NPI:1518144716
Name:INFINITY DIAGNOSTIC CONSULTING, LTD.
Entity Type:Organization
Organization Name:INFINITY DIAGNOSTIC CONSULTING, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:LAPTOOK
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACBR
Authorized Official - Phone:630-673-1778
Mailing Address - Street 1:600 W FULTON ST STE 304
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-1260
Mailing Address - Country:US
Mailing Address - Phone:630-673-1778
Mailing Address - Fax:312-756-1777
Practice Address - Street 1:600 W FULTON ST STE 304
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-1260
Practice Address - Country:US
Practice Address - Phone:630-673-1778
Practice Address - Fax:312-756-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty