Organization
IGNITE ST PETERS, LLC
Active
Other names
Ignite Medical Resort St Peters
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (AUTHORIZED OFFICIAL)
(847) 453-4000
Entity
Organization
Contact information
Practice address
5101 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-3463
(847) 453-4000
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
06/03/2025
Last updated
07/25/2025
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