IndividualActive
Dale Illingworth
NPI 1225658644 · Adult Companion · Indianapolis, IN
Provider details
- NPI number
- 1225658644
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3621 Ribbon Dr
Indianapolis, IN 46227-8167
Phone: (317) 652-6667
Approximate (ZIP-level) locationGet directions
Mailing address
3621 Ribbon Dr
Indianapolis, IN 46227-8167
Registry dates
- Enumerated
- 2020-04-26
- Last updated
- 2020-04-26
- Certified
- 2020-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.