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Organization
CONDELL MEDICAL CENTER
Active
Organization
CONDELL MEDICAL CENTER
Active
Other names
Condell Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW STEFO (VICE PRESIDENT OF FINANCE/CFO)
(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
—
IL
Other
Enumeration date
06/09/2006
Last updated
04/20/2008
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