Organization · Type 2 NPI

County of Lake

Mental Health Clinic/Center (Including Community Mental Health Center) · Waukegan, IL

NPI number 1174745160 Active

Practice location

3010 Grand Ave.
Waukegan, IL 60085

Call (847) 377-8000 Map

Mailing address

3010 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

County of LakeMental Health Clinic/Center (Including Community Mental Health Center) Waukegan, IL NPI 1568674836

Other mental health clinic/center (including community mental health center) providers in Waukegan

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NPI record

NPI: 1174745160
Entity type: Organization (Type 2)
Issued: May 2, 2007
Last updated: Aug 31, 2026
Status: Active
Subpart: Yes of County of Lake

Other names

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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 1174745160

County of Lake's National Provider Identifier is 1174745160, issued on May 2, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Waukegan, IL. The record was last updated on Aug 31, 2026.