COUNTY OF LAKE

NPI # 

Practice Address:

2615 Washington Street

Waukegan, IL, 60085

Practice Phone:

847-377-8180

Practice Fax:

847-360-7383

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X