| Lake Behavioral Hospital | |
|
2615 Washington St Waukegan IL 60085-4980 | |
| (855) 990-1900 | |
| (847) 249-8747 |
| Full Name | Lake Behavioral Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2615 Washington St, Waukegan, Illinois |
| Authorized Official Name and Position | Richard Allen Kresch (MANAGER) |
| Authorized Official Contact | 2122435565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Behavioral Hospital 2615 Washington St Waukegan IL 60085-4980 Ph: (855) 990-1900 | Lake Behavioral Hospital 2615 Washington St Waukegan IL 60085-4980 Ph: (855) 990-1900 |
| NPI Number | 1497252449 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497252449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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