Organization
CONDELL MEDICAL CENTER HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M KRITIKOS RN,BSN,MPH (DIRECTOR)
(847) 816-7717
Entity
Organization
Contact information
Practice address
28835 N HERKY DR, UNIT 201, LAKE BLUFF, IL 60044-1464
(847) 367-5750
(847) 362-2780
Mailing address
115 W CHURCH ST, LIBERTYVILLE, IL 60048-2149
(847) 816-7717
(847) 367-9078
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04921644
HME BLUE CROSS #
IL
Enumeration date
10/24/2006
Last updated
08/22/2020
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