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County Of Lake
Federally Qualified Health Center (FQHC) in North Chicago, Illinois
NPI 1083643118

County Of Lake is a Federally Qualified Health Center (FQHC) based in Waukegan, IL and is specialized in Federally Qualified Health Center (FQHC). County Of Lake practices in North Chicago, IL. The NPI Number for County Of Lake is 1083643118 and holds a License No. (Illinois).

The current practice location address for County Of Lake is 2215 Audrey Nixon Blvd, North Chicago, IL and can be reached out via phone at 847-984-5200 and via fax at 847-984-5240.

Location: 2215 Audrey Nixon Blvd, North Chicago, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083643118
Provider Name
County Of Lake
Credential
Provider Entity Type
Organization
Address
2215 Audrey Nixon Blvd, North Chicago, IL, 60085-2321
Phone Number
847-984-5200
Fax Number
847-984-5240
Provider Enumeration Date
07/01/2006
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2215 Audrey Nixon Blvd
City
North Chicago
State
Illinois
Zip
60064-1618
Phone Number
847-984-5200
Fax Number
847-984-5240
person
Provider Business Mailing Address Details
Address
2215 Audrey Nixon Blvd
City
North Chicago
State
Illinois
Zip
60064-1618
Phone Number
847-984-5200
Fax Number
847-984-5240
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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