Lake County Behavioral Health Services

LBN: Catholic Charities Of The Archdiocese Of Chicago
Lake County Behavioral Health Services is an health care organization with primary practice located at 671 S Lewis Ave , Waukegan IL 60085-6101. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Case Management, Agencies / Home Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Transportation Services / Non-emergency Medical Transport (VAN). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Catholic Charities Of The Archdiocese Of Chicago can be contacted via phone (847) 782-4154, or through Boland, Michael M via phone (312) 655-7320.

Contact Information

Primary practice address
671 S Lewis Ave Waukegan IL 60085-6101
Phone: (847) 782-4154
Fax: (847) 782-1030
Website:
Map and Directions
Authorized official contact:
Name: Boland, Michael M MSW
Phone: (312) 655-7320

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 04019 Illinois
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1295154813
LBN Legal business name Catholic Charities Of The Archdiocese Of Chicago
DBA Doing business as Lake County Behavioral Health Services
Authorized official Boland, Michael M MSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 10th, 2014
Last updated Dec 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295154813 NPPES
Illinois MEDICAID 04019

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