Organization · Type 2 NPI

Condell Medical Center

Mobile Mammography Clinic/Center · Grayslake, IL

NPI number 1609813419 Active

Practice location

1170 E Belvidere Rd
Grayslake, IL 60030-2061

Mailing address

900 Garfield Ave
Libertyville, IL 60048-3141

Specialties and licenses

TaxonomyCodeLicense
Mobile Mammography Clinic/Center Primary 261QR0207X0000422 (IL)
General Acute Care Hospital 282N00000XNone listed

Mobile Mammography Clinic/Center: Definition to come...

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About NPI 1609813419

Condell Medical Center's National Provider Identifier is 1609813419, issued on Jun 1, 2006. The primary taxonomy on file is Mobile Mammography Clinic/Center (261QR0207X), and the practice location is in Grayslake, IL. The record was last updated on Apr 20, 2008.