Provider Demographics
NPI:1942262027
Name:ILG, RON C (MD)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:C
Last Name:ILG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 W 8TH AVE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2361
Mailing Address - Country:US
Mailing Address - Phone:509-456-6556
Mailing Address - Fax:
Practice Address - Street 1:35 W 8TH AVE
Practice Address - Street 2:SUITE 440
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2361
Practice Address - Country:US
Practice Address - Phone:509-456-6556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 000429112080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine