Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY WOODSTOCK MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
JOSEPH D MALAS (CFO)
(815) 971-6738
Entity
Organization
Contact information
Practice address
2000 LAKE AVE, ROOM 1423, 1210, 1083, 1047, 1291, WOODSTOCK, IL 60098-6009
(815) 337-1560
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
310800
WI
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D0962058
CLIA #
—
01
—
5632221
BCBSIL ORTHOTIC
IL
Enumeration date
02/20/2007
Last updated
06/16/2025
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