Organization
CONDELL MEDICAL CENTER HOSPICE
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) 816-8848
(847) 816-9051
Mailing address
115 W CHURCH ST, LIBERTYVILLE, IL 60048-2149
(847) 816-8848
(847) 816-9051
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2001121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9561
HOSPICE BLUE CROSS PROVID
IL
Enumeration date
10/24/2006
Last updated
08/22/2020
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