Lake County Health Department/community Health Center | |
3004 Grand Ave Waukegan IL 60085-2321 | |
(847) 377-8273 | |
(847) 360-7377 |
Full Name | Lake County Health Department/community Health Center |
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Speciality | Clinic/Center |
Location | 3004 Grand Ave, Waukegan, Illinois |
Authorized Official Name and Position | Angela Cooper (CFO) |
Authorized Official Contact | 8473778000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lake County Health Department/community Health Center 3010 Grand Ave Waukegan IL 60085 Ph: (847) 377-8180 | Lake County Health Department/community Health Center 3004 Grand Ave Waukegan IL 60085-2321 Ph: (847) 377-8273 |
NPI Number | 1720290091 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 09/10/2024 |
Certification Date | 09/10/2024 |
Medicare PECOS PAC ID | 7214838861 |
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Medicare Enrollment ID | O20210621003037 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720290091 | NPI | - | NPPES |
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