Organization
INFINITE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CLELAND DC (OWNER)
(618) 980-3150
Entity
Organization
Contact information
Practice address
220 EVERGREEN DRIVE, GLEN CARBON, IL 62034-6203
(618) 655-0333
Mailing address
28 MEADOW RUE DR, EDWARDSVILLE, IL 62025-3141
(618) 980-3150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
06/11/2019
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