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Organization
COUNTY OF LAKE
Active
Organization
COUNTY OF LAKE
Active
Other names
Lake County Health Department and Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM JOHNSON (DEPUTY EXECUTIVE DIRECTOR)
(847) 377-8000
Entity
Organization
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
08/31/2026
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