County of Lake
NPI 1720290091 · Substance Use Disorder Rehabilitation Clinic/Center · Waukegan, IL
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
County of Lake is a Substance Use Disorder Rehabilitation Clinic/Center organization in Waukegan, IL (NPI 1720290091).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is County of Lake's NPI number?
- County of Lake's National Provider Identifier (NPI) is 1720290091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is County of Lake?
- County of Lake is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is County of Lake located?
- County of Lake's practice location on file with NPPES is 3004 Grand Ave, Waukegan, IL 60085-2321.
- What is County of Lake's phone number?
- The practice phone number listed in the NPPES registry for County of Lake is (847) 377-8273.
- Does County of Lake accept Medicare?
- County of Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for County of Lake?
- The authorized official listed on County of Lake's NPPES record is Angela Cooper, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is County of Lake's NPI active?
- Yes — County of Lake's NPI (1720290091) is active in the NPPES registry as of the last update on 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.