Ingalls Provider Group

NPI #1154484491 in Hillside, Illinois

Provider Information

NPI Number
1154484491
Entity Type
Organization
Organization Name
Ingalls Provider Group
Primary Specialty
Health Maintenance Organization
Enumeration Date
Dec 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4415 HARRISON ST
Address 2
SUITE 300, C-O NORTH AMERICAN MEDICAL MANAGEMENT
ZIP Code
60162-1910
Phone
(708) 432-4000

Authorized Official

Name
LYNN PHILIPSON
Title
PRESIDENT
Phone
(708) 915-6135

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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