Naval Health Clinic Great Lakes Illinois

NPI 1093044281 - Clinic/Center - 261QM1102X

NPI Details
NPI 1093044281
Enumeration Date 12/17/2009
Last Updated 12/17/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHNNA ANN JOHNNA
Position INDEPENDENT HOSPITAL CORPSMAN
Phone (847) 688-5568
Fax (847) 688-4430
Practice Location
3350 ILLINOIS ST
BLDG 1523
GREAT LAKES IL, 60088-5230, US
Phone (847) 688-5568
Fax (847) 688-4430
Business Location
3350 ILLINOIS STREET
BLDG 1523
GREAT LAKES IL, 60088-5230, US
Phone (847) 688-5568
Fax (847) 688-4430
Toxanomy
Taxonomy Code 261QM1102X
License State
License Number
Remove 1093044281 NPI Number
 

According to our database, Naval Health Clinic Great Lakes Illinois NPI is 1093044281, taxonomy code is 261QM1102X Naval Health Clinic Great Lakes Illinois physically located at 3350 Illinois St, Great Lakes IL, 60088-5230. NPI Number 1033115704 has the healthcare provider type.

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1093044281 NPI number is provided on an as is basis without warranty of any kind. 1093044281 is maintained by the National Plan & Provider Enumeration System. The contents of Naval Health Clinic Great Lakes Illinois are for informational purposes only.