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Condell Medical Center Home Medical Equipment

Organization Active NPI Oxygen Equipment & Supplies (DME) · Lake Bluff, IL

NPI 1366526709 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1366526709
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Advocate Condell Medical Center (4 organizations share this tax ID)

Locations

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
04921644OtherILHME BLUE CROSS #

Other providers in Lake Bluff, IL

All providers in Lake Bluff, IL · Oxygen Equipment & Supplies (DME) in Illinois

Sources for this page

Verify at the official NPI Registry.