# NAVAL HEALTH CLINIC GREAT LAKES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144557208
- **Authorized official:** DR. JESSE GEIBE M.D. (MEDICAL OFFICER)
- **Authorized official phone:** (847) 688-6712

## Contact information

- **Practice address:** 3350 ILLINOIS ST, GREAT LAKES, IL 60088-5230
- **Practice address phone:** (847) 688-5568
- **Practice address fax:** (847) 688-2289
- **Mailing address:** 3350 ILLINOIS STREET BLDG 1523, APO, AE 60088-5230
- **Mailing address phone:** (846) 688-5568
- **Mailing address fax:** (847) 688-2289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2009
- **Last updated:** 11/11/2009