COUNTY OF LAKE; NPI #1174552293

Contact Information

COUNTY OF LAKE

2400 BELVIDERE RD
WAUKEGAN, IL 60085-6165

Phone: 847-377-8400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for COUNTY OF LAKE

NPI Number	`1174552293`
LBN Legal business name	COUNTY OF LAKE
Authorized official	ANGELA COOPER - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/01/2006
Last updated	09/10/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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