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County of Lake — NPI 1679900229, Libertyville, IL | NPI Central

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NPI 1679900229

OrganizationActive

County of Lake

NPI 1679900229 · Federally Qualified Health Center (FQHC) · Libertyville, IL

Provider details

NPI number: 1679900229
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Angela Cooper, Cfo(847) 377-8000

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities

Practice location

18698 W Peterson Rd

Libertyville, IL 60048-1052

Phone: (847) 377-8510

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: 2013-09-27
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.