Organization
MEDFUSE ILLINOIS PLLC
Active
Other names
Infusacare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GOLDMAN (CEO)
(847) 324-6800
Entity
Organization
Contact information
Practice address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(847) 324-6800
(224) 251-7141
Mailing address
4711 GOLF RD STE 900, SKOKIE, IL 60076-1247
(847) 234-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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