Mercy Crystal Lake Hospital and Medical Center Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC

Doing business as

Mercyhealth Pharmacy - Crystal Lake

Practice address

875 S. Route 31
Ste 1-100L
Crystal Lake, IL 60014-8190

Phone

(779) 220-5200

Fax

(779) 220-5325

NPI assigned

Aug 23, 2023

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEALTH CORPORATIONAs reported in NPPES

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

Authorized official

Name

Shannon Dunphy-Alexander

Title

Cfo

Phone

(608) 757-3126

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mercyhealth Pharmacy - Crystal Lake Doing business as

Tax ID family

Mercy Crystal Lake Hospital and Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mercy Crystal Lake Hospital and Medical Center Inc

  dba Mercyhealth Hospital and Physician Clinic-Crystal Lake

  • General Acute Care Hospital
  • Crystal Lake, IL
  • NPI 1023754371
  NPD tax ID

Locations

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1942084538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S. ROUTE 31",
            "address_2": "STE 1-100L",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5200",
            "fax_number": "779-220-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S. ROUTE 31",
            "address_2": "STE 1-100L",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5200",
            "fax_number": "779-220-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH CORPORATION",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "DUNPHY-ALEXANDER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-757-3126"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "054-022562",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercyhealth Pharmacy - Crystal Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercyhealth Pharmacy - Crystal Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Ana Mendoza
• Michael A Menis, DDS
• Mental Health Connections, PLLC
• Muizz Merchant
• Mercy Crystal Lake Hospital and Medical Center Inc (Mercyhealth Hospital and Physician Clinic-Crystal Lake)
• Mercy Health System Corporation (Mercy Crystal Lake OB GYN)
• Mercy Health System Corporation (Mercy Crystal Lake Medical Center South)
• Mercy Health System Corporation (Mercy Crystal Lake Chiropractic & Rehab Center)
• Mercy Heatlh System Corporation (Mercy Crystal Lake East Medical Center)
• Antionette M Meredith, LMT

• Pharmacy in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.