Organization
INGALLS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURT JOHNSON (CEO)
(708) 333-2300
Entity
Organization
Contact information
Practice address
15620 WOOD ST, HARVEY, IL 60426-4171
(708) 915-4229
Mailing address
15620 WOOD ST, HARVEY, IL 60426-4171
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
146002609
IL
252Y00000X
Early Intervention Provider Agency
146002609
IL
282N00000X
General Acute Care Hospital
146002609
IL
283X00000X
Rehabilitation Hospital
Primary
146002609
IL
311ZA0620X
Adult Care Home Facility
146002609
IL
314000000X
Skilled Nursing Facility
146002609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362170866001
—
IL
05
—
362170866002
—
IL
Enumeration date
12/14/2012
Last updated
12/14/2012
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