COUNTY OF LAKE NPI 1083643118

NPI Information

  • NPI: 1083643118
  • Provider Name: COUNTY OF LAKE
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER
  • Address: 2215 AUDREY NIXON BLVD
    NORTH CHICAGO, IL
    ZIP 60064
  • Phone: (847) 984-5200

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NPI Details

COUNTY OF LAKE is a federally qualified health center (fqhc) clinic center in North Chicago, IL. COUNTY OF LAKE NPI is 1083643118. 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:

2215 AUDREY NIXON BLVD
NORTH CHICAGO, IL
ZIP 60064-618
Phone: (847) 984-5200
Fax: (847) 984-5240

The provider's authorized official is Angela Cooper .
The authorized official title is Cfo and has the following contact phone number (847) 377-8000.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 9/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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