COUNTY OF LAKE NPI 1093262867

NPI Information

NPI: 1093262867
Provider Name: COUNTY OF LAKE

Doing Business As: LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
15872 W 21ST ST
WADSWORTH, IL
ZIP 60083
Phone: (847) 377-8000
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COUNTY OF LAKE is a federally qualified health center (fqhc) clinic center in Wadsworth, IL. COUNTY OF LAKE NPI is 1093262867. 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:

15872 W 21ST ST
WADSWORTH, IL
ZIP 60083-918
Phone: (847) 377-8000

The provider's authorized official is Mark Pfister .
The authorized official title is Interim Executive Director and has the following contact phone number (847) 377-8000.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.

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
1	261QF0400X	Clinic/Center	Federally 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: 5/5/2024

NPI Synchronization or Removal

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