NPI 1801428701
Ingalls Dialysis Center
Practice location
- Address
- 2930 Montvale Dr STE B, Springfield, IL 62704-5376
- Phone
- (708) 552-0325
Authorised official
- Name
- Simon P Williamson
- Title
- Head Charge Physician
- Phone
- (708) 552-0325
Registered specialties
Chronic Disease Hospital
Primary
Registry record
- NPI
- 1801428701
- Entity type
- Organization
- NPI issued
- 8 Feb 2020
- Record last updated
- 17 Jun 2021
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.