COUNTY OF LAKE NPI 1861857401

NPI Information

COUNTY OF LAKE is a federally qualified health center (fqhc) clinic center in Round Lake Park, IL. COUNTY OF LAKE NPI is 1861857401. 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:

420 GREENWOOD DR
ROUND LAKE PARK, IL
ZIP 60073-448
Phone: (847) 249-4330

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 12/28/2015 and was last updated on 12/28/2015.

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:

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