Organization · Type 2 NPI

County of Lake

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

NPI number 1477765741 Active

Practice location

2410 Belvidere Rd
Waukegan, IL 60085-6165

Call (847) 377-8686 Map

Fax (847) 360-3658

Mailing address

3010 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed

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

15 other providers at this address

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NPI record

NPI: 1477765741
Entity type: Organization (Type 2)
Issued: May 7, 2007
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 1477765741

County of Lake's National Provider Identifier is 1477765741, issued on May 7, 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.