Naval Health Clinic Great Lakes

NPI #1144557208 in Great Lakes, Illinois

Provider Information

NPI Number
1144557208
Entity Type
Organization
Organization Name
Naval Health Clinic Great Lakes
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Nov 11, 2009
Last Updated
Nov 11, 2009

Practice Location

Address
3350 ILLINOIS ST
ZIP Code
60088-5230
Phone
(847) 688-5568

Authorized Official

Name
DR. JESSE GEIBE, M.D.
Title
MEDICAL OFFICER
Phone
(847) 688-6712

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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