Condell Med Ctr Grays Lake

LBN: Condell Medical Center
Condell Med Ctr Grays Lake is an health care organization with primary practice located at 1170 E Belvidere Rd , Grayslake IL 60030-2061. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Mobile Mammography, Hospitals / General Acute Care Hospital. Ambulatory Health Care Facilities / Radiology, Mobile Mammography is the primary health care specialty. Condell Medical Center can be contacted via phone (847) 223-0127, or through Stefo, Andrew via phone (847) 990-5205.

Contact Information

Primary practice address
1170 E Belvidere Rd Grayslake IL 60030-2061
Phone: (847) 223-0127
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stefo, Andrew
Phone: (847) 990-5205

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile Mammography 261QR0207X 0000422 Illinois
Hospitals / General Acute Care Hospital 282N00000X Illinois

Profile Details

NPI number 1609813419
LBN Legal business name Condell Medical Center
DBA Doing business as Condell Med Ctr Grays Lake
Authorized official Stefo, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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