Organization
CONDELL MEDICAL CENTER HOME PHARMACY
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, SUITE 101, LAKE BLUFF, IL 60044-1464
(847) 680-0688
(847) 680-0692
Mailing address
115 W CHURCH ST, LIBERTYVILLE, IL 60048-2149
(847) 816-7717
(847) 367-9078
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
IL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04921645
BLUE CROSS PROVIDER #
IL
01
—
1469647
NABP # PHARMACY
IL
Enumeration date
09/20/2006
Last updated
09/11/2025
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