| NPI | 1558506204 |
|---|---|
| Doing Business As | MERCY CRYSTAL LAKE MEDICAL CENTER SOUTH |
| Entity Type | Organization |
| Authorized Contact | JOHN W COOK Senior VP/CFO 608-756-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 310-800) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2016-02-23 |