NPI 1366869067
Lake County Health Department
Practice location
- Address
- 3010 Grand Ave, Waukegan, IL 60085-2321
- Phone
- (847) 377-8950
Authorised official
- Name
- Krysten Tillis
- Title
- Counselor II
- Phone
- (847) 377-8950
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1366869067
- Entity type
- Organization
- NPI issued
- 20 Mar 2014
- Record last updated
- 20 Mar 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.