Organization · Type 2 NPI
County of Lake
Substance Use Disorder Rehabilitation Clinic/Center · Round Lake Park, IL
NPI number
1619416401
Active
Practice location
423 E Washington St
Round Lake Park, IL 60073-3018
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1619416401
County of Lake's National Provider Identifier is 1619416401, issued on Feb 14, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Round Lake Park, IL. The record was last updated on Aug 31, 2026.