NPIMap

Organization Active NPI

Condell Medical Center Home Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Lake Bluff, IL
National Provider Identifier
1366526709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CONDELL MEDICAL CENTER HOME MEDICAL EQUIPMENT
Practice address
28835 N Herky Dr
Unit 201
Lake Bluff, IL 60044-1464
Phone
(847) 367-5750
Fax
(847) 362-2780
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Linda M Kritikos, RN,BSN,MPH
Title
Director
Phone
(847) 816-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X IL Primary

Addresses

Primary practice location

28835 N Herky Dr
Unit 201
Lake Bluff, IL 60044-1464

Mailing address

115 W Church St
Libertyville, IL 60048-2149
Phone (847) 816-7717

National Provider Directory

National Provider Directory
Tax ID family
Advocate Condell Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28835 N Herky Dr
Ste 201
Lake Bluff, IL 60044
Phone (847) 367-5750

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366526709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CHURCH ST",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482149",
            "telephone_number": "847-816-7717",
            "fax_number": "847-367-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28835 N HERKY DR",
            "address_2": "UNIT 201",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441464",
            "telephone_number": "847-367-5750",
            "fax_number": "847-362-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDELL MEDICAL CENTER HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRITIKOS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-816-7717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN,MPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.