Provider Demographics
NPI:1457543605
Name:INFINITE HEALTH AND WELLNESS, LTD
Entity Type:Organization
Organization Name:INFINITE HEALTH AND WELLNESS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:LORITZ
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-582-6800
Mailing Address - Street 1:400 W HARRISON ST
Mailing Address - Street 2:P.O. BOX 806338
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3902
Mailing Address - Country:US
Mailing Address - Phone:773-582-6800
Mailing Address - Fax:
Practice Address - Street 1:4940 S CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2116
Practice Address - Country:US
Practice Address - Phone:773-582-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty