# COUNTY OF LAKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake County Health Department and Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255342457
- **Authorized official:** SAM JOHNSON (DEPUTY EXECUTIVE DIRECTOR)
- **Authorized official phone:** (847) 377-8000

## Contact information

- **Practice address:** 515 KELLER AVE, WAUKEGAN, IL 60085-5008
- **Practice address phone:** (847) 377-8000
- **Practice address fax:** (847) 360-2938
- **Mailing address:** 3010 GRAND AVE, WAUKEGAN, IL 60085-2321
- **Mailing address phone:** (847) 377-8000
- **Mailing address fax:** (847) 360-2938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/31/2026