# ADVOCATE CONDELL AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1992259337
- **Authorized official:** STEPHANIE PASENELLI (CEO)
- **Authorized official phone:** (224) 504-2215

## Contact information

- **Practice address:** 825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218
- **Practice address phone:** (312) 489-9500
- **Mailing address:** 825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/14/2016
- **Last updated:** 05/06/2024