Organization
COUNTY OF LAKE
Active
Other names
Lake County Health Department 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
4118 GREENLEAF CT, PARK CITY, IL 60085-8509
(847) 377-8170
Mailing address
3010 GRAND AVE., WAUKEGAN, IL 60085
(847) 377-8180
(847) 336-1517
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
09/10/2024
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