Organization · Type 2 NPI
County of Lake
Federally Qualified Health Center (FQHC) · North Chicago, IL
NPI number
1083643118
Active
Practice location
2215 Audrey Nixon Blvd
North Chicago, IL 60064-1618
Fax (847) 984-5240
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...
Another provider at this address
About NPI 1083643118
County of Lake's National Provider Identifier is 1083643118, issued on Jul 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in North Chicago, IL. The record was last updated on Aug 31, 2026.