Organization
ADVOCATE CONDELL AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PASENELLI (CEO)
(224) 504-2215
Entity
Organization
Contact information
Practice address
825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218
(312) 489-9500
Mailing address
825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/14/2016
Last updated
05/06/2024
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