Organization
COUNTY OF LAKE
Active
Other names
Lake County Health Department and Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PFISTER (EXECUTIVE DIRECTOR)
(847) 377-8000
Entity
Organization
Contact information
Practice address
18736 W PETERSON RD, LIBERTYVILLE, IL 60048-1064
(847) 377-8510
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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