COUNTY OF LAKE

NPI # 

Practice Address:

3010 Grand Ave

Waukegan, IL, 60085-2321

Practice Phone:

847-377-8180

Practice Fax:

847-336-1517

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X