Organization Active NPI

Condell Medical Center Home Pharmacy

  • Home Infusion Therapy Pharmacy
  • Lake Bluff, IL
National Provider Identifier
1730286006
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
CONDELL MEDICAL CENTER HOME PHARMACY
Practice address
28835 N Herky Dr
Suite 101
Lake Bluff, IL 60044-1464
Phone
(847) 680-0688
Fax
(847) 680-0692
NPI assigned
Sep 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X IL
Home Infusion Therapy Pharmacy 3336H0001X IL Primary

Addresses

Primary practice location

28835 N Herky Dr
Suite 101
Lake Bluff, IL 60044-1464

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
04921645OtherILBLUE CROSS PROVIDER #
1469647OtherILNABP # PHARMACY

National Provider Directory

National Provider Directory

Locations

28835 N Herky Dr
Ste 101
Lake Bluff, IL 60044
Phone (847) 680-0688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730286006",
    "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": "SUITE 101",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441464",
            "telephone_number": "847-680-0688",
            "fax_number": "847-680-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDELL MEDICAL CENTER HOME PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "04921645",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP # PHARMACY",
            "identifier": "1469647",
            "state": "IL"
        }
    ],
    "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 Sep 11, 2025; 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.