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MERCY CRYSTAL LAKE EAST MEDICAL CENTER
NPI 1366568032
Durable Medical Equipment & Medical Supplies in Crystal Lake, IL

Active since March 22, 2007
390 E CONGRESS PKWY, STE M, CRYSTAL LAKE, IL 60014(815) 444-0850 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercy Crystal Lake East Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY CRYSTAL LAKE EAST MEDICAL CENTER (NPI 1366568032) is a healthcare organization registered as a durable medical equipment & medical supplies in Crystal Lake, Illinois and active in the NPI registry since March 2007. The organization lists John W Cook, Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1366568032
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY HEATLH SYSTEM CORPORATION
Location Address390 E CONGRESS PKWY, STE MCrystal Lake, IL 60014-6202
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 756-6000
Phone(815) 444-0850
Organization SubpartYesParent: Mercy Alliance Inc
Authorized OfficialJohn W CookVp Cfo · (608) 756-6000
Enumeration DateMarch 22, 2007
Last NPPES UpdateOctober 7, 2009
✔ NPI 1366568032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in WI · 310800
Definition
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.
390 E CONGRESS PKWY, Crystal Lake, IL 60014
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Other Names 1

Doing Business AsMercy Crystal Lake East Medical Center

Other Identifiers 4

Medicare NSC0903300026
Other14D1004883Clia
Medicaid=========022IL
Medicare OSCAR/certification214660IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOVEREIGN REHABILITATION OF ILLINOIS, LLC
Clinic/Center (Physical Therapy)
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
McHenry County (773) 755-7566
GABRIELA GONZALEZ
Behavior Technician
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
McHenry County (779) 284-0347
DAVID WELCH LCPC
Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-5050
TIFFANY CUBBISON
Health and Wellness Coach
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
McHenry County (815) 322-9300
DR. KATHRYN SCHOENBROD M.D.
Psychiatry & Neurology (Psychiatry)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-5050
MRS. PAULA FRANCES FICK OTR/L
Occupational Therapist
390 E CONGRESS PKWY, SUITE A
CRYSTAL LAKE, IL 60014
McHenry County (815) 477-4788
NANETTE LASCO MSW, LCSW
Social Worker (Clinical)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-5050
AMANDA ELIZABETH GARBIS
Behavior Technician
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
McHenry County (779) 284-0347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Heatlh System Corporation's NPI number?

The NPI number for Mercy Heatlh System Corporation is 1366568032. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Mercy Crystal Lake East Medical Center.

Where is Mercy Heatlh System Corporation located?

Mercy Heatlh System Corporation is located at 390 E Congress Pkwy Ste M, Crystal Lake, IL 60014. The listed phone number is (815) 444-0850.

What is Mercy Heatlh System Corporation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mercy Heatlh System Corporation was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.