Active NPI
County of Lake
Doing business as Lake County Health Department and Community Health Center
- Case Management Agency
- Waukegan, IL
National Provider Identifier
1700369758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COUNTY OF LAKE
- Doing business as
- Lake County Health Department and Community Health Center
- Practice address
- 3010 Grand Ave
Waukegan, IL 60085-2321 - Phone
- (847) 377-8000
- NPI assigned
- Sep 14, 2018
- Last updated
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Johnson
- Title
- Deputy Executive Director
- Phone
- (847) 377-8000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
3010 Grand Ave
Waukegan, IL 60085-2321
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Other names 1
- Lake County Health Department and Community Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Lake County Health Dept
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Zion, IL
- NPI 1023047164
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1053623637
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- North Chicago, IL
- NPI 1083643118
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1174552293
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1174745160
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1235453309
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1255342457
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Highland Park, IL
- NPI 1285663328
-
dba Lake County Health Department and Community Health Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Waukegan, IL
- NPI 1356888515
-
dba Nineteenth Judicial Circuit
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Vernon Hills, IL
- NPI 1417243288
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1457272585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1700369758",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LAKE",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-14",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "847-377-8000"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake County Health Department and Community Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lake County Health Department and Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waukegan, IL
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department/Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake
- County of Lake (Lake County Health Department and Community Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.