Organization
ADVOCATE CONDELL MEDICAL CENTER
Active
Other names
Advocate Condell Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CARTWRIGHT (VICE PRESIDENT, FINANCE)
(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
0000422
IL
Other
Enumeration date
11/12/2008
Last updated
12/10/2010
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