Organization
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
Mercyhealth Hospital and Physician Clinic-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, CRYSTAL LAKE, IL 60014
(608) 756-6080
(608) 756-6236
Mailing address
875 S. ROUTE 31, CRYSTAL LAKE, IL 60014
(779) 220-5500
(779) 220-5184
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006403
IL STATE LICENSE
IL
01
—
140308
IL MEDICARE
IL
Enumeration date
05/10/2022
Last updated
04/02/2026
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