1992893010 WESTERN LAKE
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- WESTERN LAKE
- Enumeration Date
- October 11, 2006
- Last Update
- July 16, 2008
- Authorized Official
- MR. JEFF ROY HEDIEN MA NCC CADC
DIRECTOR/ SOLE MBR OWNER
Phone: (847) 587-9700
Practice Location
- Address
- 21 W GRAND AVE
FOX LAKE, IL 600201209 - Phone
- (847) 587-9700
- Fax
- (847) 587-8584
Mailing Address
- Address
- 21 W GRAND AVE
FOX LAKE, IL 600201209 - Phone
- (847) 587-9700
- Fax
- (847) 587-8584
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | A-1450-0002-A | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A 1450 0002 A | 01 | N/A | DEPT OF HUMAN SERVICES OFFICE OF ALCOHOL & SUBSTANCE ABUSE (DHS/DASA) |
Frequently Asked Questions
What is WESTERN LAKE's NPI number?
WESTERN LAKE's NPI number is 1992893010.
Which doctor has NPI number 1992893010?
The doctor with NPI number 1992893010 is WESTERN LAKE.
What is WESTERN LAKE's practice address?
WESTERN LAKE's practice address is 21 W GRAND AVE, FOX LAKE, IL, 600201209.
Which doctor practices at 21 W GRAND AVE, FOX LAKE, IL, 600201209?
WESTERN LAKE practices at 21 W GRAND AVE, FOX LAKE, IL, 600201209.
What is WESTERN LAKE's phone number?
WESTERN LAKE's phone number is (847) 587-9700.
Who is (847) 587-9700?
(847) 587-9700 is the phone number for WESTERN LAKE.
What is WESTERN LAKE's specialty?
WESTERN LAKE's specialty is Community/Behavioral Health Agency.
What type of doctor is WESTERN LAKE?
WESTERN LAKE is a Community/Behavioral Health Agency.
Is WESTERN LAKE a Community/Behavioral Health?
Yes, WESTERN LAKE is a Community/Behavioral Health.
Is WESTERN LAKE still practicing?
Yes, WESTERN LAKE is currently practicing.
Is WESTERN LAKE accepting new patients?
WESTERN LAKE may be accepting new patients. Please call their office at (847) 587-9700 to inquire about availability.
Is NPI 1992893010 still active?
Yes, NPI 1992893010 is currently active.
Where does WESTERN LAKE practice?
WESTERN LAKE practices in FOX LAKE, IL.