Organization Active NPI

Condell Acute Care Centers

  • Gastroenterology Physician
  • Vernon Hills, IL
National Provider Identifier
1609998327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CONDELL ACUTE CARE CENTERS
Practice address
6 E Phillip Rd
Vernon Hills, IL 60061-1700
Phone
(847) 955-0104
NPI assigned
Apr 4, 2007
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
Mr. Dennis C Millirons
Title
Ceo
Phone
(847) 362-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X IL Primary

Addresses

Primary practice location

6 E Phillip Rd
Vernon Hills, IL 60061-1700

Mailing address

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 955-0104

Other names 1

  • Condell Acute Care Centers Doing business as

National Provider Directory

National Provider Directory

Locations

6440 Grand Ave
Gurnee, IL 60031
Phone (847) 362-2937

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609998327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483204",
            "telephone_number": "847-955-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E PHILLIP RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-955-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDELL ACUTE CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLIRONS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-362-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Condell Acute Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon Hills, 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.