Search › Illinois › 163WC0200X
Tom Ingram
NPI 1881375657 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1653 W Congress Pkwy # 12
Chicago, IL 60612 - Phone
- (706) 580-0650
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 367500000X
- Licence states on file
- IL, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois