Organization · Type 2 NPI

County of Lake

Federally Qualified Health Center (FQHC) · Zion, IL

NPI number 1023047164 Active

Practice location

1911 27th St
Zion, IL 60099-2542

Call (847) 377-8800 Map

Fax (847) 872-0384

Mailing address

3010 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Genevieve Anne Waldschmidt, FPA-APNFamily Nurse Practitioner Zion, IL NPI 1982107322
Robert Cuba, LCSWClinical Social Worker Zion, IL NPI 1417762378
Teresita Rodriguez Florido, FNP-CFamily Nurse Practitioner Zion, IL NPI 1588448880

NPI record

NPI: 1023047164
Entity type: Organization (Type 2)
Issued: Jul 1, 2006
Last updated: Aug 31, 2026
Status: Active

Other names

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Lake County Health Department and Community Health Center · doing business as
Lake County Health Department and Community Health Center · doing business as

Authorized official

Sam Johnson
Deputy Executive Director
(847) 377-8000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023047164

County of Lake's National Provider Identifier is 1023047164, issued on Jul 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Zion, IL. The record was last updated on Aug 31, 2026.