Lake County Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAKE COUNTY CENTER, LLC

Practice address

310 S Greenleaf St Ste 206207
Gurnee, IL 60031-5708

Phone

(847) 599-8902

NPI assigned

Jan 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hilary HarrisNPI 1588143499

Title

Director

Phone

(847) 599-8902

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Opioid treatment program

Medicare-enrolled since Oct 1, 2021

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilary R Harris

  • Professional Counselor
  • Grayslake, IL
  • NPI 1588143499
  NPD Authorized official
• Leann Endicott, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Gurnee, IL
  • NPI 1912890211
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1124659123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S GREENLEAF ST STE 206207",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S GREENLEAF ST STE 206207",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315708",
            "telephone_number": "847-599-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-599-8902"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Labrie, ATC
• Chris J Lafazanos, DDS
• Spiros J Lafazanos, DDS
• Lake County Accident and Injury Center
• Lake County Acute Care, LLP
• Lake County General and Vascular Surgical Associates, P.C.
• Lake County Head and Neck Specialists S.C.
• Lake County Internal Medicine Assoc LLC
• Lake County Pediatrics SC
• Lake County Primary Care S.C.

• Substance Use Disorder Rehabilitation Clinic/Center in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.