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Condell Medical Center Hospice
Community Based Hospice Care Agency in Libertyville, Illinois
NPI 1972687317

Condell Medical Center Hospice is a Community Based Hospice Care Agency based in Libertyville, IL. Condell Medical Center Hospice practices in Libertyville, IL. The NPI Number for Condell Medical Center Hospice is 1972687317 and holds a License No. 2001121 (Illinois).

The current practice location address for Condell Medical Center Hospice is 115 W Church St, Libertyville, IL and can be reached out via phone at 847-816-8848 and via fax at 847-816-9051.

Location: 115 W Church St, Libertyville, IL, 60048-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972687317
Provider Name
Condell Medical Center Hospice
Credential
Provider Entity Type
Organization
Address
115 W Church St, Libertyville, IL, 60048-2149
Phone Number
847-816-8848
Fax Number
847-816-9051
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9561 01 IL HOSPICE BLUE CROSS PROVID
institution
Provider Business Practice Location Address Details
Address
115 W Church St
City
Libertyville
State
Illinois
Zip
60048-2149
Phone Number
847-816-8848
Fax Number
847-816-9051
person
Provider Business Mailing Address Details
Address
115 W Church St
City
Libertyville
State
Illinois
Zip
60048-2149
Phone Number
847-816-8848
Fax Number
847-816-9051
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
2001121 (Illinois)
Definition
Definition to come...
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