Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY ALLIANCE INC
Other names
MERCY CRYSTAL LAKE CHIROPRACTIC & REHAB CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY ALLIANCE INC
Authorized official
JOHN W COOK (VP/CFO)
(608) 756-6000
Entity
Organization
Contact information
Practice address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
Mailing address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
310-800
WI
Other
Enumeration date
03/11/2008
Last updated
10/16/2009
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