Organization · NPI-2

Advocate Condell Medical Center

Clinic/Center, Radiology, Mobile Mammography · Grayslake, IL

NPI number1770737199
StatusActive
Last updated in NPPESDec 10, 2010

Details

NPI
1770737199
Entity type
Organization (NPI-2)
Legal business name
Advocate Condell Medical Center
Organization subpart
No
Enumeration date
Nov 12, 2008
Last updated
Dec 10, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0207X Clinic/Center, Radiology, Mobile Mammography0000422ILYes
282N00000X General Acute Care Hospital0000422IL

Other names

  • Advocate Condell Medical Center Grays Lake (Doing Business As)

Practice location

1170 E Belvidere Rd
Grayslake, IL 60030-2061

Phone 847-223-0127

Mailing address

900 Garfield Ave
Libertyville, IL 60048-3141

Phone 847-362-2905

Authorized official

David Cartwright
Vice President Of Finance/Cfo
8479905205

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