ADVOCATE CONDELL AMBULATORY SURGERY CENTER, LLC (NPI# 1992259337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992259337 |
| Entity Type | Organization |
| Organization Name | ADVOCATE CONDELL AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
825 S Milwaukee Ave Libertyville IL 60048-3218 |
| Practice Telephone | 3124899500 |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-14 |
| Authorized Official Name | DOMINICA TALLARICO (BOARD CHAIR) |
| Authorized Official Telephone | 8479905201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
825 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667646 | Quimbo Gulay Ching | Pediatrics | 825 S Milwaukee Ave, Libertyville, IL 60048-3218 | 2006-05-17 |
| 1609482769 | John Mcdonald | Physician Assistant | 825 S Milwaukee Ave, Libertyville, IL 60048-3218 | 2020-09-23 |
| 1730694274 | Jessica M. Kim | Nurse Practitioner | 825 S Milwaukee Ave, Libertyville, IL 60048 | 2017-12-06 |
| 1265963383 | Christopher Thomas Molitor | Family Medicine | 825 S Milwaukee Ave, Libertyville, IL 60048-3218 | 2017-03-21 |
| 1265894711 | Amanda Jane Wojciechowski | Family Medicine | 825 S Milwaukee Ave, Libertyville, IL 60048-3218 | 2016-03-23 |
| 1083630925 | Roger Hecker | Internal Medicine | 825 S Milwaukee Ave, Libertyville, IL 60048 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780077719 | Winchester Endoscopy, LLC | Clinic/Center | 1870 W Winchester Rd Ste 146, Libertyville, IL 60048-5359 | 2015-03-16 |
| 1902084593 | Winchester Aesthetic Surgical Suite, Sc | Clinic/Center | 1880 W Winchester Rd, Suite 107, Libertyville, IL 60048-5341 | 2008-02-05 |
| 1588729396 | Grand Oaks Surgical, S.c. | Clinic/Center | 1800 Hollister Dr, Suite 204, Libertyville, IL 60048-5263 | 2006-12-22 |
| 1730151168 | Hawthorn Place Outpatient Surgery Center Lp | Clinic/Center | 1900 Hollister Dr, Suite 100, Libertyville, IL 60048-5233 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on ADVOCATE CONDELL AMBULATORY SURGERY CENTER, LLC.
| 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.