Western Lake
Western Lake is a Community/Behavioral Health Agency in Fox Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
21 W Grand AveFox Lake, IL 60020-1209
Phone: (847) 587-9700
Fax: (847) 587-8584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence A-1450-0002-A (IL) |
|---|
Record details
| NPI number | 1992893010 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeff Hedien — Director/ Sole Mbr Owner · (847) 587-9700 |
| Other names | Counseling & Dui Programs Llc |
| NPI enumerated | October 11, 2006 |
| Last updated in NPPES | July 16, 2008 |
| Mailing address | 21 W Grand Ave, Fox Lake, IL 60020-1209 |
Other providers in Fox Lake
-
Jacquelyn Joyce Rognstad, BSN, RN
81 E Grand Ave, Fox Lake, IL 60020-1557 · (224) 908-3005