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NPI Code Detail

MEDICARE: IHP IL

MEDICARE: IHP IL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1780519132
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHP IL
Provider Business Mailing Address
First Line : 610 SENTRY PKWY STE 102
Second Line :
City : BLUE BELL
State : PA
Zip : 19422-2314
Country : US
Telephone Number : 484-965-9566
Fax Number :
Provider Business Practice Location Address
First Line : 2233 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-8151
Country : US
Telephone Number : 484-965-9566
Fax Number :
Authorized Official
Title or Position : CO-CEO
Name : HEMANTH NEELI
Credential : MD
Telephone Number : 484-965-9566
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “IHP IL ” Practice Location

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