NPI 1154484491

Ingalls Provider Group

Organisation Health Maintenance Organization Hillside, IL

Practice location

Address: 4415 Harrison St Suite 300, C-O North American Medical Management, Hillside, IL 60162-1910
Phone: (708) 432-4000
Fax: (708) 432-4077

Authorised official

Name: Lynn Philipson
Title: President
Phone: (708) 915-6135

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1154484491
Entity type: Organization
NPI issued: 18 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.