Ingalls Dialysis Center
NPI #1801428701 in Springfield, Illinois
Provider Information
- NPI Number
- 1801428701
- Entity Type
- Organization
- Organization Name
- Ingalls Dialysis Center
- Primary Specialty
- Chronic Disease Hospital
- Enumeration Date
- Feb 8, 2020
- Last Updated
- Jun 17, 2021
Practice Location
- Address
- 2930 MONTVALE DR STE B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-5376
- Phone
- (708) 552-0325
Authorized Official
- Name
- DR. SIMON P WILLIAMSON II, MD
- Title
- HEAD CHARGE PHYSICIAN
- Phone
- (708) 552-0325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chronic Disease Hospital |
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