County of Lake
NPI #1083643118 in North Chicago, Illinois
Provider Information
- NPI Number
- 1083643118
- Entity Type
- Organization
- Organization Name
- County of Lake
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 1, 2006
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 2215 AUDREY NIXON BLVD
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60064-1618
- Phone
- (847) 984-5200
Authorized Official
- Name
- ANGELA COOPER
- Title
- CFO
- Phone
- (847) 377-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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