NPI: 1053623637
Provider Name: COUNTY OF LAKE
Doing Business As: LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
3010 GRAND AVE
WAUKEGAN, IL
ZIP 60085
Phone: (847) 377-8000
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COUNTY OF LAKE is a mental health (including community mental health center) clinic center in Waukegan, IL. COUNTY OF LAKE NPI is 1053623637. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake County Health Department And Community Health Center.
The provider's business location address is:
3010 GRAND AVE
WAUKEGAN, IL
ZIP 60085-321
Phone: (847) 377-8000
The provider's authorized official is Antonio Beltran .
The authorized official title is Executive Director and has the following contact phone number (847) 377-8000.
The enumeration date for this NPI number is 7/12/2010 and was last updated on 8/25/2015.