| Lake County Health Department And Community Health Center | |
|
18698 W Peterson Rd Libertyville IL 60048-1052 | |
| (847) 377-8510 | |
| Not Available |
| Full Name | Lake County Health Department And Community Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18698 W Peterson Rd, Libertyville, Illinois |
| Authorized Official Name and Position | Mark Pfister (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8473778000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Health Department And Community Health Center 3010 Grand Ave Waukegan IL 60085-2321 Ph: (847) 377-8000 | Lake County Health Department And Community Health Center 18698 W Peterson Rd Libertyville IL 60048-1052 Ph: (847) 377-8510 |
| NPI Number | 1912333576 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912333576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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