Lake County Health Department

NPI #1881969434 in Waukegan, Illinois

Provider Information

NPI Number: 1881969434
Entity Type: Organization
Organization Name: Lake County Health Department
Primary Specialty: Respite Care
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 3002 GRAND AVE
City: Waukegan
State: Illinois
ZIP Code: 60085-2321
Phone: (847) 377-8088

Authorized Official

Name: MR. SAM JOHNSON, MA, LCPC
Title: CRISIS CARE PROGRAM COORDINTER
Phone: (847) 377-8088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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