Organization
COUNTY OF LAKE
Active
Other names
Lake County Health Dept and Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA COOPER (CFO)
(847) 377-8000
Entity
Organization
Contact information
Practice address
2905 WILLOW LN APT C1, ZION, IL 60099-1462
(847) 377-8170
(847) 782-6281
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
(847) 984-5761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
09/10/2024
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