Condell Medical Center Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1001734 Issued in IL

Legal business name

CONDELL MEDICAL CENTER HOME HEALTH CARE

Practice address

115 W Church St
Libertyville, IL 60048-2149

Phone

(847) 816-7717

Fax

(847) 367-9078

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467469593",
    "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": "115 W CHURCH ST",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482149",
            "telephone_number": "847-816-7717",
            "fax_number": "847-367-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDELL MEDICAL CENTER HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1001734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HC BLUE CROSS ID #",
            "identifier": "9613",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Collura
• Charles S Colodny, MD
• Carrie Ruth Colvin, LCPC
• Combined Care Center P.C.
• Condell Medical Center
• Condell Medical Center Hospice
• Condell Pathology Group, LTD
• Connect Hearing, Inc.
• Connect Psychological Services
• Consolidated Pathology Consultants, SC (CPC Pathology)

• Home Health Agency in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Home Health Agency in Illinois

• 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.