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
24647 N MILWAUKEE AVE, VERNON HILLS, IL 60061-1567
(847) 377-7835
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
002330005
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002330005
—
IL
Enumeration date
02/07/2008
Last updated
08/31/2026
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