Provider Profile Claim

Claim Provider Profile

County OF Lake

Libertyville, 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

1477036507
Name

County OF Lake
Account Contact

Mark Pfister
Address

18736 W PETERSON RD, LIBERTYVILLE, IL, 60048-1064
Phone

847-377-8510
Specialties

Community/behavioral Health Clinic/center, Mental Health (including Community Mental Health Center)
NPPES Last Updated

2018-09-14

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