Naval Health Clinic Great Lakes Illinois

NPI #1093044281 in Great Lakes, Illinois

Provider Information

NPI Number: 1093044281
Entity Type: Organization
Organization Name: Naval Health Clinic Great Lakes Illinois
Primary Specialty: Clinic/Center - Military Outpatient Operational (Transportable) Component
Enumeration Date: Dec 17, 2009
Last Updated: Dec 17, 2009

Practice Location

Address: 3350 ILLINOIS ST
Address 2: BLDG 1523
City: Great Lakes
State: Illinois
ZIP Code: 60088-5230
Phone: (847) 688-5568

Authorized Official

Name: MISS JOHNNA ANN MORTON
Title: INDEPENDENT HOSPITAL CORPSMAN
Phone: (847) 688-5568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military Outpatient Operational (Transportable) Component — Military Outpatient Operational (Transportable) Component	261QM1102X	Primary

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