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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) 377-8050
(847) 360-2938
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
(847) 360-2938
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
08/14/2006
Last updated
08/31/2026
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