Lake County Health Department And Community Health Center | |
2615 Washington Street Waukegan IL 60085 | |
(847) 377-8180 | |
(847) 360-7383 |
Full Name | Lake County Health Department And Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2615 Washington Street, Waukegan, Illinois |
Authorized Official Name and Position | Irene T Pierce (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8473778000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake County Health Department And Community Health Center 3010 Grand Ave Waukegan IL 60085-2321 Ph: () - | Lake County Health Department And Community Health Center 2615 Washington Street Waukegan IL 60085 Ph: (847) 377-8180 |
NPI Number | 1619101292 |
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Provider Enumeration Date | 05/11/2009 |
Last Update Date | 06/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619101292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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