Organization · Type 2 NPI

Miles of Care Infusion & Wellness Divison

Infusion Therapy Clinic/Center · Chicago, IL

NPI number 1639969405 Active

Practice location

10408 S Western Ave Ste A
Chicago, IL 60643-2508

Fax (708) 933-3459

Mailing address

PO Box 19111
Chicago, IL 60619-0002

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Internal Medicine) Physician 207RS0010XNone listed
Clinic/Center 261Q00000XNone listed
Infusion Therapy Clinic/Center Primary 261QI0500XNone listed
Physical Therapy Clinic/Center 261QP2000XNone listed

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About NPI 1639969405

Miles of Care Infusion & Wellness Divison's National Provider Identifier is 1639969405, issued on May 7, 2025. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Chicago, IL. The record was last updated on May 7, 2025.