CONDELL MEDICAL CENTER


Address: 1170 E Belvidere Rd, Grayslake, IL 60030-2061
Phone: 8472230127

CONDELL MEDICAL CENTER (NPI# 1609813419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609813419
Entity Type Organization
Organization Name CONDELL MEDICAL CENTER
Other Organization Name CONDELL MED CTR GRAYS LAKE
Practice Address 1170 E Belvidere Rd
Grayslake
IL 60030-2061
Mailing Address 900 Garfield Ave
Libertyville
IL 60048-3141
Practice Telephone 8472230127
Mailing Telephone 8473622905
Enumeration Date 2006-06-01
Last Update Date 2008-04-20
Authorized Official Name MR. ANDREW STEFO (VICE PRESIDENT OF FINANCE/CFO)
Authorized Official Telephone 8479905205
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0207X Clinic/Center
Specialization: Radiology, Mobile Mammography
0000422 IL Ambulatory Health Care Facilities
N 282N00000X General Acute Care Hospital IL Hospitals

Other Provider/Organization Names

Other Name Type Code
Condell Med Ctr Grays Lake Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235170317 Condell Medical Center Clinic/Center 1435 N Hunt Club Rd, Gurnee, IL 60031-2656 2006-06-09
1043213911 Condell Medical Center General Acute Care Hospital 801 S Milwaukee Ave, Libertyville, IL 60048-3199 2005-05-24

Office Location

Street Address 1170 E BELVIDERE RD
City GRAYSLAKE
State IL
Zip Code 60030-2061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063417921 William R. Storino Podiatrist 1170 E Belvidere Rd, Ste 202, Grayslake, IL 60030-2076 2005-06-16
1427589027 Forefront Dermatology, S.c. Dermatology 1170 E Belvidere Rd, Suite 206, Grayslake, IL 60030 2017-03-24
1750826103 Elizabeth Souza Social Worker 1170 E Belvidere Rd, Suite 201, Grayslake, IL 60030-2061 2016-12-21
1235597485 Tina Louise Bernardi Nurse Practitioner 1170 E Belvidere Rd, Suite 212, Grayslake, IL 60030-2061 2016-02-03
1043639255 Tina Mandelman Nurse Practitioner 1170 E Belvidere Rd, Suite 106, Grayslake, IL 60030-2061 2014-04-15
1417264698 Thurston & Associates Counselor 1170 E Belvidere Rd, Suite 201, Grayslake, IL 60030-2061 2010-09-09
1265672729 Irma Sharp Social Worker 1170 E Belvidere Rd, Grayslake, IL 60030-2061 2009-02-24
1770737199 Advocate Condell Medical Center General Acute Care Hospital 1170 E Belvidere Rd, Grayslake, IL 60030-2061 2008-11-12
1114170115 Christine Louise Jakubec Audiologist 1170 E Belvidere Rd, Suite 204, Grayslake, IL 60030-2061 2008-11-04
1881856821 Nuha Mariam Shair Pediatrics 1170 E Belvidere Rd, Suite 106, Grayslake, IL 60030-2061 2008-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891393781 Camelot Care Centers, LLC Clinic/Center 34121 North Route 45 Suite 207, Grayslake, IL 60030 2020-10-13
1992347892 Pier London Social Worker 18640 Belivdere Rd., Grayslake, IL 60030 2019-10-11
1972156529 Elizabeth Reeve Counselor 18640 Belvidere, Grayslake, IL 60030 2019-07-23
1144725987 Michael Kraft Family Medicine 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 2018-03-26
1255850780 Megan B March Speech-Language Pathologist 33089 N Battershall Rd, Grayslake, IL 60030 2017-09-15
1669992665 Easy Oxygen Inc. Durable Medical Equipment & Medical Supplies 1862 E Belvidere Road #125, Grayslake, IL 60030 2017-06-21
1184163628 Surprenant Chiropractic LLC Clinic/Center 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 2017-02-16
1700230976 Camelot Care Centers, LLC. Foster Care Agency 34121 North Route 45, Suite 207, Grayslake, IL 60030 2016-04-14
1932560414 Vital Therapeutics Inc Physical Therapist 34121 N Us 45, Suite 101, Grayslake, IL 60030 2016-03-11
1093175804 Zigma Visiting Physician, LLC General Practice 4 N Deer Point Dr, 1002, Hainesville, IL 60030 2016-03-07
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Taxonomy Information

Taxonomy Code 261QR0207X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile Mammography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801047030 Northshore Imaging Services Inc Clinic/Center 807 E Golfview Dr, Mt Prospect, IL 60056-4324 2008-10-07
1235170317 Condell Medical Center Clinic/Center 1435 N Hunt Club Rd, Gurnee, IL 60031-2656 2006-06-09

Competitor

Search similar providers

City GRAYSLAKE
Zip Code 60030

Improve Information

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Dataset Information

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.

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