Organization
LAKE COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA CERK LCPC (PROGRAM COORDINATOR)
(847) 377-8200
Entity
Organization
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Mailing address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
178.004336
IL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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