NPI 1497021612
Lake County Health Dept.
Practice location
- Address
- 3010 Grand Ave, Waukegan, IL 60085-2321
- Phone
- (847) 377-8686
- Fax
- (847) 377-8688
- Mailing address
- 2410 Belvidere Rd, Waukegan, IL 60085-6165
Authorised official
- Name
- Kim Taylor
- Title
- Counselor 1
- Phone
- (847) 377-8686
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1497021612
- Entity type
- Organization
- NPI issued
- 2 Apr 2012
- Record last updated
- 2 Apr 2012
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.