OrganizationActive
Condell Medical Center
NPI 1609813419 · Mobile Mammography Clinic/Center · Grayslake, IL
Provider details
- NPI number
- 1609813419
- Entity type
- Organization
- Primary specialty
- Mobile Mammography Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Andrew Stefo, Vice President of Finance/Cfo
- License
- 0000422 (IL)
Mailing address
900 Garfield Ave
Libertyville, IL 60048-3141
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.