| County Of Lake | |
|
423 E Washington St Round Lake Park IL 60073-3018 | |
| (847) 377-8000 | |
| Not Available |
| Full Name | County Of Lake |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 423 E Washington St, Round Lake Park, Illinois |
| Authorized Official Name and Position | Angela Cooper (CFO) |
| Authorized Official Contact | 8473778000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Lake 3010 Grand Ave Waukegan IL 60085-2321 Ph: () - | County Of Lake 423 E Washington St Round Lake Park IL 60073-3018 Ph: (847) 377-8000 |
| NPI Number | 1619416401 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619416401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 E Washington St, Round Lake Park, IL 60073 Phone: 847-546-0080 Fax: 847-546-0083 |