Organization
COUNTY OF LAKE
Active
Other names
Lake County Health Department and Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE T PIERCE MSN (EXECUTIVE DIRECTOR)
(847) 377-8000
Entity
Organization
Contact information
Practice address
2615 WASHINGTON STREET, WAUKEGAN, IL 60085
(847) 377-8180
(847) 360-7383
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
06/18/2010
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