NPIMap

County of Lake

Organization Active NPI Health Service Clinic/Center · Waukegan, IL

NPI 1497766570 · NPPES record last updated Dec 17, 2008

Key facts

NPI
1497766570
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
COUNTY OF LAKE
Practice address
3010 Grand Ave
Waukegan, IL 60085-2321
Phone
(847) 377-8000
Fax
(847) 360-2938
NPI assigned
Aug 11, 2006
Organization subpart
No

Authorized official

Name
Mrs. Irene T Pierce, MSN
Title
Executive Director
Phone
(847) 377-8000

Corporate family (same tax ID) 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

National Provider Directory

Tax ID family
Lake County Mental Heal T (45 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

3010 Grand Ave
Waukegan, IL 60085-2321

Mailing address

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8000

Other names

  • Lake County Health Department and Community Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2008.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1497766570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8000",
            "fax_number": "847-360-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8000",
            "fax_number": "847-360-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-377-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Health Department and Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

All providers in Waukegan, IL · Health Service Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.