Organization · Type 2 NPI
County of Lake
Substance Use Disorder Rehabilitation Clinic/Center · Waukegan, IL
NPI number
1720290091
Active
Practice location
3004 Grand Ave
Waukegan, IL 60085-2321
Fax (847) 360-7377
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
23 other providers at this address
- County of LakeFederally Qualified Health Center (FQHC) Waukegan, IL NPI 1992155022
- Belinda Perez, BA CADC ATEAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1033483847
- Brianna Maria Lopez, LPCProfessional Counselor Waukegan, IL NPI 1912786211
- Carl BradfordAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1760756605
- Cecilia Ann Cardona, LPNLicensed Practical Nurse Waukegan, IL NPI 1194393231
- Christine Louise DempskiAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1477244366
- Christopher Butler Sr.Addiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1326412057
- Deidre Tomi HoganAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1992529275
- Desarae V. Munoz, LSWSocial Worker Waukegan, IL NPI 1366136616
- Elizabeth WoodsAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1801358346
- Erika N. Hetland, LSWSocial Worker Waukegan, IL NPI 1154834851
- Gregory FieldsAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1326311267
Other substance use disorder rehabilitation clinic/center providers in Waukegan
About NPI 1720290091
County of Lake's National Provider Identifier is 1720290091, issued on May 7, 2007. 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.