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Organization
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC
Active
Organization
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
Mercyhealth Pharmacy - Crystal Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
SHANNON DUNPHY-ALEXANDER (CFO)
(608) 757-3126
Entity
Organization
Contact information
Practice address
875 S. ROUTE 31, STE 1-100L, CRYSTAL LAKE, IL 60014-8190
(779) 220-5200
(779) 220-5325
Mailing address
875 S. ROUTE 31, STE 1-100L, CRYSTAL LAKE, IL 60014-8190
(779) 220-5200
(779) 220-5325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054-022562
IL STATE LICENSE
IL
Enumeration date
08/23/2023
Last updated
03/25/2026
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