# CONDELL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043213911
- **Authorized official:** MR. ANDREW STEFO (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (847) 990-5202

## Contact information

- **Practice address:** 801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3199
- **Practice address phone:** (847) 362-2900
- **Practice address fax:** (847) 573-4304
- **Mailing address:** 900 GARFIELD AVE, LIBERTYVILLE, IL 60048-3141
- **Mailing address phone:** (847) 362-2900
- **Mailing address fax:** (847) 573-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000422 | IL | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 04/20/2008