County Of Lake in Waukegan - Substance Abuse Rehabilitation Facility
County Of Lake - NPI 1811109184
County Of Lake is a Substance Abuse Rehabilitation Facility in Waukegan, Illinois. County Of Lake practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for County Of Lake is 1811109184. The last update date is 2016-12-02.
County Of Lake's current location address is 3002 Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8473778200 and fax number 8473603185. The mailing address for County Of Lake is 3002 Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | County Of Lake |
|---|---|
| Address | 3002 Grand Ave, Waukegan, Illinois |
| Phone Number | 8473778200 |
| Fax Number | 8473603185 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM EX |
|---|---|
| Authorized Official Name | Pfister Mark |
| Telephone Number | 8473778000 |
NPI Number Detail
| NPI Number | 1811109184 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2016-12-02 |
Provider Mailing Address Detail
| Address | 3002 Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600852321 |
| Phone Number | 8473778200 |
| Fax Number | 8473603185 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the unique identification code assigned to County Of Lake by the Centers for Medicare & Medicaid Services?
The County Of Lake has been issued the NPI (National Provider Identifier) 1811109184. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the County Of Lake's physical address?
The County Of Lake is physically located at 3002 Grand Ave, in the city of Waukegan, IL, with the postal code 600852321.
What is County Of Lake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for County Of Lake is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy classification code for this specialized field is 324500000X.
On what date did the County Of Lake receive the assignment of its 1811109184 from the Centers for Medicare & Medicaid Services?
The County Of Lake was issued its 1811109184 by the Centers for Medicare & Medicaid Services on 2007-05-07.
When was the information regarding County Of Lake most recently updated?
The details pertaining to the County Of Lake, including its address, specialty, and other relevant information, were last refreshed on 2016-12-02.