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County of Lake — NPI 1619416401, Round Lake Park, IL | NPI Central

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NPI 1619416401

OrganizationActive

County of Lake

NPI 1619416401 · Substance Use Disorder Rehabilitation Clinic/Center · Round Lake Park, IL

Provider details

NPI number: 1619416401
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Angela Cooper, Cfo(847) 377-8000

Specialties & taxonomies

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities
Community/Behavioral Health Agency251S00000X
Agencies

Practice location

423 E Washington St

Round Lake Park, IL 60073-3018

Phone: (847) 377-8000

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

3010 Grand Ave

Waukegan, IL 60085-2321

Other names (DBA / former)

Doing business as: Lake County Health Department and Community Health Center

Registry dates

Enumerated: 2017-02-14
Last updated: 2024-09-10
Certified: 2024-09-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.