Organization
IGNITE MEDICAL RESORT DYER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (MANAGER)
(833) 944-6483
Entity
Organization
Contact information
Practice address
1532 CALUMET AVE, DYER, IN 46311-1588
(219) 515-4700
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
09/05/2023
Last updated
09/05/2023
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