NPI 1225658644

Dale a Illingworth

Practitioner Adult Companion Indianapolis, IN

Practice location

Address: 3621 Ribbon Dr, Indianapolis, IN 46227-8167
Phone: (317) 652-6667

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1225658644
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2020
Record last updated: 26 Apr 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.