NPIMap

County of Lake

A Medicare group practice based in Waukegan, IL: 25 NPIs enrolled under one PECOS associate control ID (PAC ID 7214838861), with 148 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7214838861The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
IL
Enrollments
12
Group size
42 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
25In 10 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040116000192 IL Part B Supplier - Clinic/Group Practice 1013920750
O20040910000293 IL Part A Provider - Federally Qualified Health Center (FQHC) 1083643118
O20040714001275 IL Part A Provider - Federally Qualified Health Center (FQHC) 1750310884
O20141126001644 IL Part A Provider - Federally Qualified Health Center (FQHC) 1679900229
O20161021000000 IL Part A Provider - Federally Qualified Health Center (FQHC) 1992155022
O20210621003037 IL Part B Supplier - Opioid Treatment Program (Otp) 1720290091
O20090708000389 IL Part A Provider - Federally Qualified Health Center (FQHC) 1285663328
O20090218000623 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1013920750
O20090131000045 IL Part A Provider - Federally Qualified Health Center (FQHC) 1023047164
O20090131000038 IL Part A Provider - Federally Qualified Health Center (FQHC) 1174552293
O20100622000318 IL Part A Provider - Federally Qualified Health Center (FQHC) 1235453309
O20250318003572 IL Part A Provider - Federally Qualified Health Center (FQHC) 1639588254

NPIs in this group 25

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 148

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (148) or whom Care Compare lists as members (42).

Sources for this page