COUNTY OF LAKE NPI 1477765741

NPI Information

NPI: 1477765741
Provider Name: COUNTY OF LAKE

Doing Business As: LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2410 BELVIDERE RD
WAUKEGAN, IL
ZIP 60085
Phone: (847) 377-8686
Get Directions

COUNTY OF LAKE is a community based residential treatment facility mental illness in Waukegan, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COUNTY OF LAKE NPI is 1477765741. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake County Health Department And Community Health Center.

The provider's business location address is:

2410 BELVIDERE RD
WAUKEGAN, IL
ZIP 60085-165
Phone: (847) 377-8686
Fax: (847) 360-3658

The provider's authorized official is Mark Pfister .
The authorized official title is Executive Director and has the following contact phone number (847) 377-8000.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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