Individual
DR. JILL C INGELSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13114 WESTERN AVE, BLUE ISLAND, IL 60406-2439
(708) 388-1228
(708) 810-9726
Mailing address
13114 WESTERN AVE, BLUE ISLAND, IL 60406-2439
(708) 388-1228
(708) 388-1696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009096
IL
152WP0200X
Pediatric Optometrist
046009096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009096
—
IL
01
—
1634291
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/22/2005
Last updated
08/27/2024
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