| County Of Lake | |
|
224 W Clarendon Dr Round Lake Beach IL 60073-1896 | |
| (847) 984-5100 | |
| (847) 984-5120 |
| Full Name | County Of Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 224 W Clarendon Dr, Round Lake Beach, Illinois |
| Authorized Official Name and Position | Angela Cooper (CFO) |
| Authorized Official Contact | 8473778000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Lake 3010 Grand Ave Waukegan IL 60085-2321 Ph: (847) 377-8000 | County Of Lake 224 W Clarendon Dr Round Lake Beach IL 60073-1896 Ph: (847) 984-5100 |
| NPI Number | 1750310884 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 7214838861 |
|---|---|
| Medicare Enrollment ID | O20040714001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750310884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ermil Wagner, D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073 Phone: 847-740-4300 | |
Lake County Acute Care, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-2500 Fax: 847-740-2505 | |
Family Medicine Specialists Of Round Lake Incorporated S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2680 Route 83, Round Lake Beach, IL 60073 Phone: 224-372-7780 Fax: 224-372-7782 | |
Midwestern Institute Of Health Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 W Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-7260 Fax: 847-740-7262 | |
Accurate Home Visiting Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-863-9589 Fax: 847-510-0636 |