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Contact Information

NAVAL HEALTH CLINIC GREAT LAKES
3350 ILLINOIS ST
GREAT LAKES, IL60088-5230
 Phone: 847-688-5568
 Fax: 847-688-2289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for NAVAL HEALTH CLINIC GREAT LAKES

NPI # 1144557208
LBN Legal business name NAVAL HEALTH CLINIC GREAT LAKES
Authorized official JESSE GEIBE - (MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2009
Last updated 11/11/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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