Organization
CONDELL MEDICAL CENTER HOME HEALTH CARE
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
115 W CHURCH ST, LIBERTYVILLE, IL 60048-2149
(847) 816-7717
(847) 367-9078
Mailing address
115 W CHURCH ST, LIBERTYVILLE, IL 60048-2149
(847) 816-7717
(847) 367-9078
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9613
HC BLUE CROSS ID #
IL
Enumeration date
08/02/2006
Last updated
08/22/2020
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