| Lake County Health Department And Community Health Center | |
|
2215 Audrey Nixon Blvd North Chicago IL 60064-1618 | |
| (847) 984-5200 | |
| (847) 984-5240 |
| Full Name | Lake County Health Department And Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2215 Audrey Nixon Blvd, North Chicago, 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 And Community Health Center 3010 Grand Ave Waukegan IL 60085-2321 Ph: (847) 377-8000 | Lake County Health Department And Community Health Center 2215 Audrey Nixon Blvd North Chicago IL 60064-1618 Ph: (847) 984-5200 |
| NPI Number | 1083643118 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 7214838861 |
|---|---|
| Medicare Enrollment ID | O20040910000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083643118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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