| County Of Lake | |
|
1911 27th St Zion IL 60099-2542 | |
| (847) 377-8800 | |
| (847) 872-0384 |
| Full Name | County Of Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 1911 27th St, Zion, 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 1911 27th St Zion IL 60099-2542 Ph: (847) 377-8800 |
| NPI Number | 1023047164 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 7214838861 |
|---|---|
| Medicare Enrollment ID | O20090131000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023047164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wilfredo A Granada Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 Sheridan Rd, Suite C, Zion, IL 60099 Phone: 847-872-5556 Fax: 847-872-5570 | |
Delain Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2456 Sheridan Rd, Zion, IL 60099 Phone: 847-872-5707 Fax: 847-746-5892 | |
Gopal N. Bhalala, M.d..llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2024 Lewis Ave, Zion, IL 60099 Phone: 847-872-5911 Fax: 847-872-7202 | |
Zion Clinic Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 Lewis Avenue, Zion, IL 60099 Phone: 847-746-3752 Fax: 847-746-9144 |