# MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HEALTH CORPORATION
- **Other names:** Mercyhealth Hospital and Physician Clinic-Crystal Lake
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023754371
- **Legal business name:** MERCY HEALTH CORPORATION
- **Authorized official:** PATRICIA LYNNE ALLEN (CFO)
- **Authorized official phone:** (608) 756-6080

## Contact information

- **Practice address:** 875 S ROUTE 31, CRYSTAL LAKE, IL 60014
- **Practice address phone:** (608) 756-6080
- **Practice address fax:** (608) 756-6236
- **Mailing address:** 875 S. ROUTE 31, CRYSTAL LAKE, IL 60014-8190
- **Mailing address phone:** (779) 220-5500
- **Mailing address fax:** (779) 220-5184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 09/23/2026