COUNTY OF LAKE

NPI # 

Practice Address:

3010 Grand Ave

Waukegan, IL, 60085-2321

Practice Phone:

847-377-8000

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X