County of Lake

NPI #1659583920 in Park City, Illinois

Provider Information

NPI Number: 1659583920
Entity Type: Organization
Organization Name: County of Lake
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 7, 2007
Last Updated: Sep 10, 2024

Practice Location

Address: 4118 GREENLEAF CT
City: Park City
State: Illinois
ZIP Code: 60085-8509
Phone: (847) 377-8170

Authorized Official

Name: ANGELA COOPER
Title: CFO
Phone: (847) 377-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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