Organization · Type 2 NPI

County of Lake

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

NPI number 1477036507 Active

Practice location

18736 W Peterson Rd
Libertyville, IL 60048-1064

Call (847) 377-8510 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...

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

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NPI record

NPI: 1477036507
Entity type: Organization (Type 2)
Issued: Sep 14, 2018
Last updated: Sep 14, 2018
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

Mr. Mark Pfister
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 1477036507

County of Lake's National Provider Identifier is 1477036507, issued on Sep 14, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Libertyville, IL. The record was last updated on Sep 14, 2018.