CONDELL MEDICAL CENTER NPI 1609813419

NPI Information

NPI: 1609813419
Provider Name: CONDELL MEDICAL CENTER

Doing Business As: CONDELL MED CTR GRAYS LAKE

Classification: Clinic/Center - 261QR0207X
Entity Type: Organization

Specialization: Radiology, Mobile Mammography

Address:
1170 E BELVIDERE RD
GRAYSLAKE, IL
ZIP 60030
Phone: (847) 223-0127
Get Directions

CONDELL MEDICAL CENTER is a radiology and mobile mammography clinic center in Grayslake, IL. CONDELL MEDICAL CENTER NPI is 1609813419. The provider is registered as an organization entity type.
The provider Is Doing Business As Condell Med Ctr Grays Lake.

The provider's business location address is:

1170 E BELVIDERE RD
GRAYSLAKE, IL
ZIP 60030-061
Phone: (847) 223-0127

The provider's authorized official is Andrew Stefo .
The authorized official title is Vice President Of Finance/cfo and has the following contact phone number (847) 990-5205.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0207X	Clinic/Center	Radiology, Mobile Mammography	0000422	ILLINOIS	Yes
2	282N00000X	General Acute Care Hospital			ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========008	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »