| Condor Life Services, Llc | |
|
100 Saunders Rd Ste 150 Lake Forest IL 60045-2526 | |
| (833) 955-5888 | |
| Not Available |
| Full Name | Condor Life Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Saunders Rd Ste 150, Lake Forest, Illinois |
| Authorized Official Name and Position | Carole Crawford (PRESIDENT & CEO) |
| Authorized Official Contact | 3129619469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Condor Life Services, Llc 100 Saunders Rd Ste 150 Lake Forest IL 60045-2526 Ph: (833) 955-5888 | Condor Life Services, Llc 100 Saunders Rd Ste 150 Lake Forest IL 60045-2526 Ph: (833) 955-5888 |
| NPI Number | 1366026858 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366026858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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