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Organization
CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
Active
Organization
CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LEE MAROLT LCSW (SOCIAL WORKER)
(847) 877-9238
Entity
Organization
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 877-9238
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 877-9238
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
149.015260
IL
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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