Western Lake
NPI #1992893010 in Fox Lake, Illinois
Provider Information
- NPI Number
- 1992893010
- Entity Type
- Organization
- Organization Name
- Western Lake
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Jul 16, 2008
Practice Location
Authorized Official
- Name
- MR. JEFF ROY HEDIEN, MA NCC CADC
- Title
- DIRECTOR/ SOLE MBR OWNER
- Phone
- (847) 587-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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