# CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER

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

## Provider details

- **NPI number:** 1417202839
- **Authorized official:** JACQUELINE LEE MAROLT LCSW (SOCIAL WORKER)
- **Authorized official phone:** (847) 877-9238

## Contact information

- **Practice address:** 3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
- **Practice address phone:** (847) 877-9238
- **Mailing address:** 3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
- **Mailing address phone:** (847) 877-9238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 149.015260 | IL | Yes |

## Other

- **Enumeration date:** 07/23/2012
- **Last updated:** 07/23/2012