OrganizationActive
Western Lake
NPI 1992893010 · Community/Behavioral Health Agency · Fox Lake, IL
Provider details
- NPI number
- 1992893010
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeff Hedien, Director/ Sole Mbr Owner(847) 587-9700
- License
- A-1450-0002-A (IL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
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
21 W Grand Ave
Fox Lake, IL 60020-1209
Phone: (847) 587-9700
Fax: (847) 587-8584
Street-level locationGet directions
Mailing address
21 W Grand Ave
Fox Lake, IL 60020-1209
Other names (DBA / former)
- Former legal business name
- Counseling & Dui Programs LLC
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2008-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.