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Contact Information

CONDELL MEDICAL CENTER HOME PHARMACY
28835 N HERKY DR
SUITE 101
LAKE BLUFF, IL60044-1464
 Phone: 847-680-0688
 Fax: 847-680-0692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CONDELL MEDICAL CENTER HOME PHARMACY

NPI Number 1730286006
LBN Legal business name CONDELL MEDICAL CENTER HOME PHARMACY
Authorized official LINDA KRITIKOS - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
IL Other 04921645 BLUE CROSS PROVIDER #
IL Other 1469647 NABP # PHARMACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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