NPI Index

COUNTY OF LAKE

Clinic/Center - Federally Qualified Health Center (FQHC)

Active Organization
NPI: 1376717702

Practice Address

3010 GRAND AVE
Waukegan, IL 60085

Phone: (847) 377-8000

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X No -
Clinic/Center - Community Health 261QC1500X No -
Clinic/Center - Federally Qualified Health Center (FQHC) 261QF0400X Yes -
Clinic/Center - Health Service 261QH0100X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X No -
Substance Abuse Rehabilitation Facility 324500000X No -

Frequently Asked Questions

NPI 1376717702 is the National Provider Identifier for COUNTY OF LAKE, a Clinic/Center - Federally Qualified Health Center (FQHC) provider located in Waukegan, IL. This NPI was enumerated on April 16, 2008.

Quick Facts

NPI
1376717702
Type
Organization
Enumerated
Apr 16, 2008
Last Updated
Sep 10, 2024

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