MERCY HEALTH SYSTEM CORPORATION (NPI# 1508983784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508983784 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SYSTEM CORPORATION |
| Other Organization Name | MERCY CRYSTAL LAKE OB GYN |
| Practice Address |
750 E Terra Cotta Ave Ste B Crystal Lake IL 60014-3621 |
| Mailing Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | 8154591212 |
| Mailing Telephone | 6087566000 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | JOHN W COOK (VP CFO) |
| Authorized Official Telephone | 6087566000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 310800 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 14D0411934 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY CRYSTAL LAKE OB GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688584 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2537 W Algonquin Rd, Algonquin, IL 60102-9403 | 2013-01-08 |
| 1487924593 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 3400 Deerfield Drive, Janesville, WI 53546-3557 | 2012-01-05 |
| 1639460736 | Mercy Health System Corporation | Pharmacy | 1010 N Washington St Ste 107, Janesville, WI 53548-1500 | 2011-04-22 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
| 1437276615 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 47 W Acorn Ln, Lake In The Hills, IL 60156-4804 | 2007-03-23 |
| 1639200108 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1038 E Geneva St, Delavan, WI 53115-1921 | 2007-03-08 |
| 1699847723 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2401 Harnish Dr, Algonquin, IL 60102-6846 | 2006-11-14 |
| 1013953504 | Mercy Health System Corporation | Pharmacy | 725 S Janesville St, Milton, WI 53563-1775 | 2006-06-21 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| Street Address |
750 E TERRA COTTA AVE STE B |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984638 | Virginia B Hemelt | Psychiatry & Neurology | 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 | 2005-07-07 |
| 1700239639 | Rockford Orthopedic Associates, Ltd. | Durable Medical Equipment & Medical Supplies | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2016-07-15 |
| 1225406499 | Eric Torres | Physician Assistant | 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 | 2015-09-04 |
| 1679963821 | Kelly A Muscavitch | Physician Assistant | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2015-01-27 |
| 1306235882 | Rebecca E Cheski | Specialist/Technologist | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2015-01-21 |
| 1205024668 | Kara C. Joyner | Physician Assistant | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2007-10-11 |
| 1902092109 | Jeremy A Houtakker | Physician Assistant | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2007-09-20 |
| 1679628374 | Michelle Lee Sanfilippo | Physician Assistant | 750 E Terra Cotta Ave, Centegra Neurology, Crystal Lake, IL 60014 | 2007-01-24 |
| 1346394236 | Kevin Franklin Barnes | Specialist/Technologist | 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 | 2007-01-22 |
| 1710034400 | Crystal Lake Orthopaedic Surgery & Sports Medicine, Ltd | Specialist | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932667516 | Abc Home Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 651 W Terra Cotta Ave Ste 221, Crystal Lake, IL 60014-3401 | 2019-03-04 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1487972881 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 315 N Il Route 31, Crystal Lake, IL 60012-3778 | 2010-05-10 |
| 1245561661 | Diabetic Footwear Solutuions LLC | Durable Medical Equipment & Medical Supplies | 1 Crystal Lake Plz, Suite Aw, Crystal Lake, IL 60014-7966 | 2010-01-25 |
| 1326271354 | Brandon M Mulhall | Durable Medical Equipment & Medical Supplies | 3807 Burton Trl, Crystal Lake, IL 60014-2336 | 2009-08-25 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1457505752 | Implant Funding Solutions, LLC | Durable Medical Equipment & Medical Supplies | 60 W Terra Cotta Ave Ste B, #260, Crystal Lake, IL 60014-3548 | 2008-11-13 |
| 1508087719 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1305 Randall Road, Crystal Lake, IL 60014 | 2007-05-02 |
| 1649330093 | Medical World Home Health Care and Ostomy Center Inc | Durable Medical Equipment & Medical Supplies | 430 W Virginia Street, Crystal Lake, IL 60014-5936 | 2006-12-08 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on MERCY HEALTH SYSTEM CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.