JILL C INGELSE O.D.
NPI 1528058443
Optometrist, Pediatrics in Blue Island,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 22, 2005

Contact Information

13114 Western Ave
Blue Island,
Post Code: 60406
Phone: (708) 388-1228
Fax: (708) 810-9726

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Jill C Ingelse O.d. in Blue Island - Optometrist, Pediatrics

Jill C Ingelse O.d. is a Optometrist, Pediatrics in Blue Island, . Jill C Ingelse O.d. practices all healthcare services and medical treatments related to Optometrist, Pediatrics. The NPI Number for Jill C Ingelse O.d. is 1528058443. The last update date is 2024-08-27.

Jill C Ingelse O.d.'s current location address is 13114 Western Ave, Blue Island, . You can contact this provider via phone number (708) 388-1228 and fax number (708) 810-9726. The mailing address for Jill C Ingelse O.d. is 13114 Western Ave, Blue Island, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1528058443
Provider Name
JILL C INGELSE O.D.
Gender
Female
Entity Type
Individual
Location Address
13114 Western Ave, Blue Island,
Location Phone
(708) 388-1228
Location Fax
(708) 810-9726
Mailing Address
13114 Western Ave, Blue Island, Illinois(IL)
Mailing Phone
708-388-1228
Mailing Fax
708-388-1696
Enumeration Date
2005-10-22
Last Update Date
2024-08-27
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
-
License No.
046009096
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 152WP0200X Pediatric Optometrist

Optometrist, Pediatrics

046009096 (Illinois)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
046009096 MEDICAID (05) Illinois (IL)
1634291 Other (non-Medicare) (01) Illinois (IL) BLUE CROSS BLUE SHIELD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528058443
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548051648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2548051648
2 + 5 + 4 + 8 + 0 + 5 + 1 + 6 + 4 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1528058443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1487657433 PEKIN MRI, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1417950437 ILLINI OPEN MRI, LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541