Dale A Illingworth
NPI #1225658644 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1225658644
- Entity Type
- Individual
- Name
- Dale A Illingworth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Apr 26, 2020
- Last Updated
- Apr 26, 2020
Practice Location
- Address
- 3621 RIBBON DR
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46227-8167
- Phone
- (317) 652-6667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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