1205116688 NPI number — INFINITY IMAGING LLC

Table of content: (NPI 1205116688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205116688 NPI number — INFINITY IMAGING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INFINITY IMAGING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205116688
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1655 N ARLINGTON HEIGHTS RD STE 301W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON HEIGHTS
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60004-3900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-772-2666
Provider Business Mailing Address Fax Number:
847-325-4650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1655 N ARLINGTON HEIGHTS RD STE 301W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON HEIGHTS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60004-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-772-2666
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROYTIKH
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
847-227-8449

Provider Taxonomy Codes

  • Taxonomy code: 261QR0208X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02521199 . This is a "STATE OF IL FILE NUMBER" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".