County of Lake

NPI #1235453309 in Waukegan, Illinois

Provider Information

NPI Number
1235453309
Entity Type
Organization
Organization Name
County of Lake
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 18, 2010
Last Updated
Sep 10, 2024

Practice Location

Address
3010 GRAND AVE
ZIP Code
60085-2321
Phone
(847) 377-8000

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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