1. Home
  2. Directory
  3. Illinois
  4. Waukegan
  5. Clinic Center
  6. NPI Profile

COUNTY OF LAKE
NPI 1720290091
Clinic/Center - Rehabilitation, Substance Use Disorder in Waukegan, IL

Active since May 07, 2007
3004 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8273(847) 360-7377 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Aug 24, 2017, Aug 16, 2017 (3 updates tracked since 2017).

About County Of Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTY OF LAKE (NPI 1720290091), doing business as Lake County Health Department/community Health Center, is a healthcare organization registered as a rehabilitation, substance use disorder in Waukegan, Illinois and active in the NPI registry since May 2007. The organization lists Angela Cooper, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720290091
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOUNTY OF LAKE
Location Address3004 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085 · (847) 377-8180 · Fax (847) 336-1517
Phone(847) 377-8273
Fax(847) 360-7377
Organization SubpartNo
Authorized OfficialAngela CooperCfo · (847) 377-8000
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1720290091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
3004 GRAND AVE, Waukegan, IL 60085
Open in Google Maps ↗

Other Names 1

Doing Business AsLake County Health Department/community Health Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMAN G GOLLIDAY CADC
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
MS. BELINDA PEREZ BA CADC ATE
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8199
SYLVIA SIMS BOLTON
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8197
ERIKA N HETLAND LSW
Social Worker
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8201
CECILIA ANN CARDONA LPN
Licensed Practical Nurse
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
KARI MARIE GREEN
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8201
STEPHANIE MAGEN VALENTIN BA
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
GREGORY FIELDS
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Lake's NPI number?

The NPI number for County Of Lake is 1720290091. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Lake County Health Department/Community Health Center.

Where is County Of Lake located?

County Of Lake is located at 3004 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8273.

What is County Of Lake's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does County Of Lake accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list County Of Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Lake was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.