1205116688 NPI number — INFINITY IMAGING LLC

Table of content: DR. KENNETH PETER ORBECK D.O. (NPI 1548219058)

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:
07/31/2025
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:
847-772-2666

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".




Copyright © 2007-2025 www.npivalidator.com