COUNTY OF LAKE

NPI # 

Practice Address:

1840 Green Bay Rd

Highland Park, IL, 60035-3110

Practice Phone:

847-984-5300

Practice Fax:

847-984-8312

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X