institution
County Of Lake
Federally Qualified Health Center (FQHC) in Wadsworth, Illinois
NPI 1093262867

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 Wadsworth, IL. The NPI Number for County Of Lake is 1093262867 and holds a License No. (Illinois).

The current practice location address for County Of Lake is 15872 W 21St St, Wadsworth, IL and can be reached out via phone at 847-377-8000. You can also correspond with County Of Lake through the mailing address at 3010 GRAND AVE, WAUKEGAN, IL - 60085-2321 (mailing address contact number: 847-377-8000).

Location: 15872 W 21St St, Wadsworth, IL, 60085-2321
institution
Provider Profile Details
NPI Number
1093262867
Provider Name
County Of Lake
Credential
Provider Entity Type
Organization
Address
15872 W 21St St, Wadsworth, IL, 60085-2321
Phone Number
847-377-8000
Fax Number
Provider Enumeration Date
09/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15872 W 21St St
City
State
Zip
60083-8918
Phone Number
847-377-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-377-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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