Organization
INGALLS MEMORIAL HOSPITAL
Active
Other names
The Ingalls Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND ARTHUR NEISWONGER (PRESIDENT)
(708) 915-6111
Entity
Organization
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 915-6107
(708) 915-2099
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(708) 915-6107
(708) 915-2099
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
0001099
IL
273Y00000X
Rehabilitation Hospital Unit
0001099
IL
282N00000X
General Acute Care Hospital
Primary
0001099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
10/29/2005
Last updated
03/18/2026
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