CONDELL MEDICAL CENTER (NPI# 1043213911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043213911 |
| Entity Type | Organization |
| Organization Name | CONDELL MEDICAL CENTER |
| Practice Address |
801 S Milwaukee Ave Libertyville IL 60048-3199 |
| Mailing Address |
900 Garfield Ave Libertyville IL 60048-3141 |
| Practice Telephone | 8473622900 |
| Practice Fax Number | 8475734304 |
| Mailing Telephone | 8473622900 |
| Mailing Fax Number | 8475734304 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. ANDREW STEFO (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 8479905202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0000422 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170317 | Condell Medical Center | Clinic/Center | 1435 N Hunt Club Rd, Gurnee, IL 60031-2656 | 2006-06-09 |
| 1609813419 | Condell Medical Center | Clinic/Center | 1170 E Belvidere Rd, Grayslake, IL 60030-2061 | 2006-06-01 |
| Street Address |
801 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957658 | Alyson Favela | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-09-22 |
| 1467087486 | Julianna Williams | Emergency Medicine | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-03-10 |
| 1366073645 | Nicole Marie Locascio | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-01-27 |
| 1477198026 | Julia Margret Malloy | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2019-11-07 |
| 1396225280 | Steffanie A Francis | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-08-20 |
| 1639665193 | Antonette Renee Knar | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-07-09 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1295235307 | Linda S Doyle | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048 | 2018-02-15 |
| 1366958878 | Lindsay Mckenzie | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-12-19 |
| 1093229858 | Klara Major | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194073882 | Kavork Edward Hagopian | General Acute Care Hospital | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2012-08-28 |
| 1124272547 | Advocate Condell Medical Center | General Acute Care Hospital | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2008-11-12 |
| 1366480063 | Carol A. Carani, Md | General Acute Care Hospital | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.