Organization
IGNITE MEDICAL RESORT CHESTERTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (MANAGER)
(833) 944-6483
Entity
Organization
Contact information
Practice address
2775 VILLAGE PT, CHESTERTON, IN 46304-0099
(219) 304-6700
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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