Ignite Medical Hanover Park, LLC
NPI #1932899689 in Hanover Park, Illinois
Provider Information
- NPI Number
- 1932899689
- Entity Type
- Organization
- Organization Name
- Ignite Medical Hanover Park, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 8, 2023
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 2000 W LAKE ST
- City
- Hanover Park
- State
- Illinois
- ZIP Code
- 60133-4302
- Phone
- (630) 556-2000
Authorized Official
- Name
- TIMOTHY FIELDS
- Title
- MANAGER
- Phone
- (833) 944-6483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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