Bdc Kansas City
NPI #1912191271 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1912191271
- Entity Type
- Organization
- Organization Name
- Bdc Kansas City
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Aug 30, 2007
- Last Updated
- Aug 30, 2007
Practice Location
- Address
- 3001 6TH ST STE A
- City
- Great Lakes
- State
- Illinois
- 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 Outpatient — Military/U.S. Coast Guard Outpatient |
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| Nbhc Ntc Great Lakes Part of Naval Health Clinic Great Lakes | AI Deep Dive |
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