OrganizationActive
County of Lake
NPI 1720290091 · Substance Use Disorder Rehabilitation Clinic/Center · Waukegan, IL
Provider details
- NPI number
- 1720290091
- 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
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Practice location
3004 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8273
Fax: (847) 360-7377
Approximate (ZIP-level) locationGet directions
Mailing address
3010 Grand Ave
Waukegan, IL 60085
Other names (DBA / former)
- Doing business as
- Lake County Health Department/Community Health Center
- Doing business as
- Lake County Health Department/Community Health Center
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.