National Provider Identifier Database

COUNTY OF LAKE
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COUNTY OF LAKE
3010 GRAND AVE
WAUKEGAN, IL60085-2321
Phone: 847-377-8000
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for COUNTY OF LAKE

NPI Number 1235453309
Legal business name
LBN
COUNTY OF LAKE
Authorized official ANGELA COOPER - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/18/2010
Last updated 09/10/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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