| County Of Lake | |
|
800 High School Dr Round Lake IL 60073-2951 | |
| (847) 377-8531 | |
| Not Available |
| Full Name | County Of Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 High School Dr, Round Lake, 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 800 High School Dr Round Lake IL 60073-2951 Ph: (847) 377-8531 |
| NPI Number | 1639588254 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 7214838861 |
|---|---|
| Medicare Enrollment ID | O20250318003572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639588254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Round Lake Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Railroad Ave, Round Lake, IL 60073 Phone: 847-546-8777 Fax: 847-546-8779 | |
Min H. Lin, M.d. Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Nippersink Rd, Round Lake, IL 60073 Phone: 847-546-8500 Fax: 847-546-4409 |