Organization · Type 2 NPI

County of Lake

Substance Use Disorder Rehabilitation Clinic/Center · Waukegan, IL

NPI number 1356888515 Active

Practice location

3010 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1356888515

County of Lake's National Provider Identifier is 1356888515, issued on Jan 26, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Waukegan, IL. The record was last updated on Aug 31, 2026.