Organization · Type 2 NPI
Gundersen Lutheran Medical Center Inc
Clinic/Center · Libertyville, IL
NPI number
1144947805
Active
Practice location
14780 Creekside Path
Libertyville, IL 60048-1107
Mailing address
1910 South Ave
La Crosse, WI 54601-5467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1144947805
Gundersen Lutheran Medical Center Inc's National Provider Identifier is 1144947805, issued on Oct 24, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Libertyville, IL. The record was last updated on Oct 24, 2022.