Whalio Doctors

NPI 1366869067

Lake County Health Department

Organisation Community/Behavioral Health Agency Waukegan, IL

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
Agencies Taxonomy 251S00000X Licence 178007626 (IL)

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.