County of Lake
NPI #1639588254 in Round Lake, Illinois
Provider Information
- NPI Number
- 1639588254
- Entity Type
- Organization
- Organization Name
- County of Lake
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 7, 2014
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 800 HIGH SCHOOL DR
- City
- Round Lake
- State
- Illinois
- ZIP Code
- 60073-2951
- Phone
- (847) 377-8531
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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