LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER – NPI #1174745160
Clinic/Center

LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER is an AHC clinic located in WAUKEGAN, IL. NPPES has assigned the NPI number 1174745160 to LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER on May 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is COUNTY OF LAKE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Sep 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER below.

NPI Profile for
COUNTY OF LAKE

NPI Number
1174745160
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COUNTY OF LAKE
Doing Business As (dba): LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER
Primary location
3010 GRAND AVE.
WAUKEGAN, IL 60085
Phone: (847) 377-8000 Fax:
Mailing address
3010 GRAND AVENUE
WAUKEGAN, IL 60085-2321
Phone: (847) 377-8180 Fax: (847) 336-1517
Organization Subpart
Yes - LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER is subpart of another organization.
Authorized Official
ANGELA COOPER
CFO
Phone: (847) 377-8000
Updated
Certification Date
Sep 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
251S00000X
- Community/Behavioral Health		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.