Organization
INGALLS HOME CARE INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL ZAKI (ADMINISTRATOR)
(708) 331-0226
Entity
Organization
Contact information
Practice address
1 INGALLS DR, WYMAN GORDON PAVILLION, HARVEY, IL 60426-3558
(708) 331-0226
Mailing address
1 INGALLS DR, WYMAN GORDON PAVILLION, HARVEY, IL 60426-3558
(708) 331-0226
(708) 915-2749
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622112
BCBS PROVIDER NUMBER
IL
Enumeration date
06/16/2006
Last updated
08/22/2020
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