Provider Profile Claim

Claim Provider Profile

County OF Lake

Waukegan, IL Unclaimed

Submit your NPI number to verify and claim this organization. We’ll confirm your details and send account setup instructions.

NPI Number *

Email *

We’ll use this to send verification and account setup details.

Organization / Practice Name *

Contact First Name *

Contact Last Name *

Business Phone

Street Address

Address 2 / Suite

City

State

ZIP Code

Primary Specialty

License Number

NPI

1376717702
Name

County OF Lake
Account Contact

Angela Cooper
Address

3010 GRAND AVE, WAUKEGAN, IL, 60085-2321
Phone

847-377-8000
Specialties

Community/behavioral Health Clinic/center, Community Health Clinic/center, Federally Qualified Health Center (fqhc) Clinic/center, Health Services Clinic/center, Mental Health (including Community Mental Health Center) Clinic/center, Rehabilitation, Substance USE Disorder Substance Abuse Rehabilitation Facility
NPPES Last Updated

2024-09-10

Claiming will create a provider account and send a welcome email with login instructions.