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County Of Lake
Federally Qualified Health Center (FQHC) in Waukegan, Illinois
NPI 1992155022

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 Waukegan, IL. The NPI Number for County Of Lake is 1992155022 and holds a License No. (Illinois).

The current practice location address for County Of Lake is 3004 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8000.

Location: 3004 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992155022
Provider Name
County Of Lake
Credential
Provider Entity Type
Organization
Address
3004 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8000
Fax Number
Provider Enumeration Date
06/20/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
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
261QF0400X
License No.
()
Definition
Definition to come...
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