Organization
CONDELL MEDICAL CENTER
Active
Other names
Condell Med Ctr Grays Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW STEFO (VICE PRESIDENT OF FINANCE/CFO)
(847) 990-5205
Entity
Organization
Contact information
Practice address
1170 E BELVIDERE RD, GRAYSLAKE, IL 60030-2061
(847) 223-0127
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
—
IL
Other
Enumeration date
06/01/2006
Last updated
04/20/2008
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