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Organization
NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS
Active
Organization
NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOHNNA ANN MORTON (INDEPENDENT HOSPITAL CORPSMAN)
(847) 688-5568
Entity
Organization
Contact information
Practice address
3350 ILLINOIS ST, BLDG 1523, GREAT LAKES, IL 60088-5230
(847) 688-5568
(847) 688-4430
Mailing address
3350 ILLINOIS STREET, BLDG 1523, GREAT LAKES, IL 60088-5230
(847) 688-5568
(847) 688-4430
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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