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Western Lake
Community/Behavioral Health Agency in Fox Lake, Illinois
NPI 1992893010

Western Lake is a Community/Behavioral Health Agency based in Fox Lake, IL. Western Lake practices in Fox Lake, IL. The NPI Number for Western Lake is 1992893010 and holds a License No. A-1450-0002-A (Illinois).

The current practice location address for Western Lake is 21 W Grand Ave, Fox Lake, IL and can be reached out via phone at 847-587-9700 and via fax at 847-587-8584.

Location: 21 W Grand Ave, Fox Lake, IL, 60020-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992893010
Provider Name
Western Lake
Credential
Provider Entity Type
Organization
Address
21 W Grand Ave, Fox Lake, IL, 60020-1209
Phone Number
847-587-9700
Fax Number
847-587-8584
Provider Enumeration Date
10/11/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
A 1450 0002 A 01 DEPT OF HUMAN SERVICES OFFICE OF ALCOHOL & SUBSTANCE ABUSE (DHS/DASA)
institution
Provider Business Practice Location Address Details
Address
21 W Grand Ave
City
Fox Lake
State
Illinois
Zip
60020-1209
Phone Number
847-587-9700
Fax Number
847-587-8584
person
Provider Business Mailing Address Details
Address
21 W Grand Ave
City
Fox Lake
State
Illinois
Zip
60020-1209
Phone Number
847-587-9700
Fax Number
847-587-8584
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
A-1450-0002-A (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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