Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY ALLIANCE INC
Other names
MERCY PEDIATRICS ALGONQUIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY ALLIANCE INC
Authorized official
JOHN W COOK (VP/CFO)
(608) 756-6000
Entity
Organization
Contact information
Practice address
2537 W ALGONQUIN RD, ALGONQUIN, IL 60102-9403
(847) 458-0173
(847) 458-9750
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 741-5644
(608) 757-3116
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
310-800
WI
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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