Ingalls Dialysis Center

LBN: Ingalls Dialysis Center
Ingalls Dialysis Center is an health care organization with primary practice located at 2930 Montvale Dr Ste B , Springfield IL 62704-5376. The organization recently has only one registered license in Hospitals / Chronic Disease Hospital, which is considered as the primary health care specialty. Ingalls Dialysis Center can be contacted via phone (708) 552-0325, or through Williamson, Simon P via phone (708) 552-0325.

Contact Information

Primary practice address
2930 Montvale Dr Ste B Springfield IL 62704-5376
Phone: (708) 552-0325
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williamson, Simon P Doctor of Medicine (MD)
Phone: (708) 552-0325

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Chronic Disease Hospital 281P00000X

Profile Details

NPI number 1801428701
LBN Legal business name Ingalls Dialysis Center
DBA Doing business as
Authorized official Williamson, Simon P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2020
Last updated Jun 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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