| Lake County Health Department | |
|
3010 Grand Ave Waukegan IL 60085-2321 | |
| (847) 377-8950 | |
| Not Available |
| Full Name | Lake County Health Department |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3010 Grand Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Krysten Tillis (COUNSELOR II) |
| Authorized Official Contact | 8473778950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Health Department 3010 Grand Ave Waukegan IL 60085-2321 Ph: () - | Lake County Health Department 3010 Grand Ave Waukegan IL 60085-2321 Ph: (847) 377-8950 |
| NPI Number | 1366869067 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366869067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 178007626 (Illinois) | Primary |
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