| Advocate Condell Ambulatory Surgery Center, Llc | |
|
825 S Milwaukee Ave Libertyville IL 60048-3218 | |
| (312) 489-9500 | |
| Not Available |
| Full Name | Advocate Condell Ambulatory Surgery Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 S Milwaukee Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Stephanie Pasenelli (CEO) |
| Authorized Official Contact | 2245042215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Condell Ambulatory Surgery Center, Llc 825 S Milwaukee Ave Libertyville IL 60048-3218 Ph: () - | Advocate Condell Ambulatory Surgery Center, Llc 825 S Milwaukee Ave Libertyville IL 60048-3218 Ph: (312) 489-9500 |
| NPI Number | 1992259337 |
|---|---|
| Provider Enumeration Date | 08/14/2016 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 1850672551 |
|---|---|
| Medicare Enrollment ID | O20170111000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992259337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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