COUNTY OF LAKE (NPI# 1083643118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083643118 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LAKE |
| Other Organization Name | LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER |
| Practice Address |
2215 14th St North Chicago IL 60064-1618 |
| Mailing Address |
3010 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8479845200 |
| Practice Fax Number | 8479845240 |
| Mailing Telephone | 8473778000 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-01-22 |
| Authorized Official Name | IRENE T PIERCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8473778000 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477036507 | County of Lake | Community/Behavioral Health | 18736 W Peterson Rd, Libertyville, IL 60048-1064 | 2018-09-14 |
| 1093262867 | County of Lake | Clinic/Center | 15872 W 21st St, Wadsworth, IL 60083-8918 | 2016-09-08 |
| 1861857401 | County of Lake | Clinic/Center | 420 Greenwood Dr, Round Lake Park, IL 60073-3448 | 2015-12-28 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1639588254 | County of Lake | Clinic/Center | 800 High School Dr, Round Lake, IL 60073-2951 | 2014-08-07 |
| 1912333576 | County of Lake | Community/Behavioral Health | 18698 W Peterson Road, Libertyville, IL 60048 | 2013-09-16 |
| 1578861761 | County of Lake | Clinic/Center | 9345 Winchester St, Lower Lake, CA 95457-5000 | 2011-03-11 |
| 1528370277 | County of Lake | Community/Behavioral Health | 4118 Greenleaf Ct Apt 202, Park City, IL 60085-7913 | 2010-07-10 |
| 1619101292 | County of Lake | Clinic/Center | 2615 Washington Street, Waukegan, IL 60085 | 2009-05-11 |
| 1477721496 | County of Lake | Clinic/Center | 2424 Washington St, Waukegan, IL 60085-5074 | 2008-02-12 |
| Street Address |
2215 14TH ST |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517880 | Danilo Alesna | Pediatrics | 2215 14th St, North Chicago, IL 60064-1618 | 2005-12-06 |
| 1073814067 | Kristin Michelle Krivickas | Counselor | 2215 14th St, North Chicago, IL 60064-1618 | 2010-11-08 |
| 1023200706 | North Chicago Community Health Center | Public Health or Welfare | 2215 14th St, North Chicago, IL 60064-1618 | 2007-08-15 |
| 1346449527 | Elizabeth S Nodine | Family Medicine | 2215 14th St, North Chicago, IL 60064-1618 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487104469 | County of Lake | Clinic/Center | 2100 Green Bay Rd, North Chicago, IL 60064-2838 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
Please comment or provide details below to improve the information on COUNTY OF LAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.