NPI:
1821200197
Provider Name:
COUNTY OF LAKE
Doing Business As: LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER
Classification:
Clinic/Center - 261QM0801X
Entity Type:
Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
3002 GRAND AVE
WAUKEGAN, IL
ZIP 60085
Phone:
(847) 377-8273
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COUNTY OF LAKE is a mental health (including community mental health center) clinic center in Waukegan, IL. COUNTY OF LAKE NPI is 1821200197. 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:
3002 GRAND AVE
WAUKEGAN, IL
ZIP 60085-321
Phone: (847) 377-8273
Fax: (847) 360-7377
The provider's authorized official is Mark Pfister .
The authorized official title is Interim 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 12/2/2016.