Nbhc Nctc Great Lakes

NPI #1295928257 in Great Lakes, Illinois

Provider Information

NPI Number
1295928257
Entity Type
Organization
Organization Name
Nbhc Nctc Great Lakes
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL HEALTH CLINIC GREAT LAKES
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Aug 23, 2007
Last Updated
Aug 23, 2007

Practice Location

Address
3001 6TH ST STE A
ZIP Code
60088-2833
Phone
(847) 688-4560

Authorized Official

Name
DUWAYNE GRIEPENTROG
Title
COMPTROLLER
Phone
(847) 688-2888

Specialties & Taxonomy Codes

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

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