COUNTY OF LAKE

NPI # 

Practice Address:

224 W Clarendon Dr

Round Lake Beach, IL, 60073-1896

Practice Phone:

847-984-5100

Practice Fax:

847-984-5120

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X