Organization · Type 2 NPI
County of Lake
Federally Qualified Health Center (FQHC) · Round Lake, IL
NPI number
1639588254
Active
Practice location
800 High School Dr
Round Lake, IL 60073-2951
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1639588254
County of Lake's National Provider Identifier is 1639588254, issued on Aug 7, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Round Lake, IL. The record was last updated on Aug 31, 2026.