| NPI | 1609813419 |
|---|---|
| Doing Business As | CONDELL MED CTR GRAYS LAKE |
| Entity Type | Organization |
| Authorized Contact | ANDREW STEFO Vice President Of Finance/CFO 847-990-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography (Licence: IL 0000422) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 000000422) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-04-20 |