Organization
INGALLS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANI M DOUGLAS DPT (PHYSICAL THERAPIST)
(708) 915-5003
Entity
Organization
Contact information
Practice address
ONE INGALLS DRIVE, HARVEY, IL 60426
(708) 915-5003
Mailing address
ONE INGALLS DRIVE, HARVEY, IL 60426
(708) 915-5003
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070013962
IL
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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