INGALLS MEMORIAL HOSPITAL (NPI# 1679198014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679198014 |
| Entity Type | Organization |
| Organization Name | INGALLS MEMORIAL HOSPITAL |
| Practice Address |
6701 159th St Ste B105 Tinley Park IL 60477-1758 |
| Practice Telephone | 7089157580 |
| Practice Fax Number | 7082257532 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | STEPHANIE ELLIS (DIRECTOR, REV PERF AND AUDIT MGT) |
| Authorized Official Telephone | 7737026890 |
| Is Organization Subpart | Y |
| Parent Organization Name | INGALLS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245776988 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-01-18 |
| 1801132105 | Ingalls Memorial Hospital | Home Health | 15620 Wood St, Harvey, IL 60426-4171 | 2012-12-14 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1871841841 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-24 |
| 1548518509 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1174871131 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1720336787 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1023105566 | Ingalls Memorial Hospital | Rehabilitation Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-10-06 |
| 1043307580 | Ingalls Memorial Hospital | Psychiatric Unit | One Ingalls Drive, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598756686 | Ingalls Memorial Hospital | Psychiatric Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2005-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INGALLS MEMORIAL HOSPITAL, THE | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Street Address |
6701 159TH ST STE B105 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866050 | Virtis Health, LLC | Clinic/Center | 10210 Werch Dr Ste 203, Woodridge, IL 60517-4815 | 2020-06-18 |
| 1346864337 | University of Chicago Medical Center | Clinic/Center | 355 E Grand Ave Ste 2800, Chicago, IL 60611-5389 | 2020-06-04 |
| 1194216408 | The North Shore Iv Center | Clinic/Center | 200 Green Bay Rd Fl 2, Highwood, IL 60040-1703 | 2018-05-22 |
| 1205345337 | Glow Health and Wellness Medical Spa, PC | Clinic/Center | 1528 W Monroe St Ste 100, Chicago, IL 60607-2460 | 2017-09-20 |
| 1972050037 | Cynthia Carmona | Clinic/Center | 7715 N Hermitage Ave, 2e, Chicago, IL 60626-1033 | 2016-09-07 |
| 1386035889 | Prince&princess | Clinic/Center | 3630 214th Pl, Matteson, IL 60443-2704 | 2015-02-05 |
| 1609046242 | Premier Point Home Health, Inc. | Clinic/Center | 4701 N Sheridan Rd, Chicago, IL 60640-5021 | 2008-03-11 |
| 1962554485 | Option Health Ltd | Clinic/Center | 985 Avenue of The Cities, Suite 105, Silvis, IL 61282-7001 | 2007-01-17 |
| 1346270527 | Option Care Enterprises, Inc. | Clinic/Center | 1226 Michael Drive, Suite A, Wood Dale, IL 60191-1056 | 2006-07-04 |
| 1104439777 | Midwest Alternative Treatment Clinic, PC | Clinic/Center | 1100 Lake St Ste 125b, Oak Park, IL 60301-1015 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on INGALLS MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.