COUNTY OF LAKE

NPI # 

Practice Address:

2215 Audrey Nixon Blvd

North Chicago, IL, 60064-1618

Practice Phone:

847-984-5200

Practice Fax:

847-984-5240

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X