INGALLS PROVIDER GROUP

HILLSIDE, IL
NPI1154484491
Entity TypeOrganization
Authorized ContactLYNN PHILIPSON
President
708-915-6135
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2006-12-18
Last Update Date2020-08-22
Business Address
INGALLS PROVIDER GROUP
4415 HARRISON ST SUITE 300, C-O NORTH AMERICAN MEDICAL MANAGEMENT
HILLSIDE, IL 60162-1910
Phone number: 708-432-4000
Mailing Address
INGALLS PROVIDER GROUP
4415 HARRISON ST SUITE 300, C-O NORTH AMERICAN MEDICAL MANAGEMENT
HILLSIDE, IL 60162-1910
Phone number: 708-432-4000
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