# INGALLS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265784193
- **Authorized official:** MRS. SHANI M DOUGLAS DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (708) 915-5003

## Contact information

- **Practice address:** ONE INGALLS DRIVE, HARVEY, IL 60426
- **Practice address phone:** (708) 915-5003
- **Mailing address:** ONE INGALLS DRIVE, HARVEY, IL 60426
- **Mailing address phone:** (708) 915-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 070013962 | IL | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012