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Organization
ADVOCATE CONDELL MEDICAL CENTER
Active
Organization
ADVOCATE CONDELL MEDICAL CENTER
Active
Other names
Advocate Condell Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CARTWRIGHT (VICE PRESIDENT, FINANCE)
(847) 990-5205
Entity
Organization
Contact information
Practice address
1435 N HUNT CLUB RD, GURNEE, IL 60031-2656
(847) 599-7365
Mailing address
900 GARFIELD AVE, LIBERTYVILLE, IL 60048-3141
(847) 362-2905
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
0000422
IL
282N00000X
General Acute Care Hospital
0000422
IL
Other
Enumeration date
11/12/2008
Last updated
12/10/2010
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