COUNTY OF LAKE NPI 1235453309

NPI Information

COUNTY OF LAKE is a federally qualified health center (fqhc) clinic center in Waukegan, IL. COUNTY OF LAKE NPI is 1235453309. 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 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 3/18/2010 and was last updated on 1/10/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.