Healthcare Provider Details
I. General information
NPI: 1548130883
Provider Name (Legal Business Name): IGNITE HOSPITALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1325 N HIGHLAND AVE
AURORA IL
60506-1449
US
IV. Provider business mailing address
PO BOX 4419
WOODLAND HILLS CA
91365-4419
US
V. Phone/Fax
- Phone: 630-859-2222
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOIZ
SUHAIL
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 630-699-1553