Lake County Health Department And Community Health Center | |
15872 W 21st St Wadsworth IL 60083-8918 | |
(847) 377-8000 | |
Not Available |
Full Name | Lake County Health Department And Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 15872 W 21st St, Wadsworth, Illinois |
Authorized Official Name and Position | Mark Pfister (INTERIM EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8473778000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 15872 W 21st St Wadsworth IL 60083-8918 Ph: (847) 377-8000 |
NPI Number | 1093262867 |
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Provider Enumeration Date | 09/08/2016 |
Last Update Date | 09/08/2016 |
Identifier | Type | State | Issuer |
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1093262867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |