# IGNITE MEDICAL RESORT DYER, LLC

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

## Provider details

- **NPI number:** 1427834597
- **Authorized official:** TIMOTHY FIELDS (MANAGER)
- **Authorized official phone:** (833) 944-6483

## Contact information

- **Practice address:** 1532 CALUMET AVE, DYER, IN 46311-1588
- **Practice address phone:** (219) 515-4700
- **Mailing address:** 1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 09/05/2023