# JAMES A LOVELL FHCC

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

## Provider details

- **NPI number:** 1801858741
- **Authorized official:** MR. ROBERT G BUCKLEY MD, MPH, FACEP (CAPTAIN)
- **Authorized official phone:** (224) 610-3735

## Contact information

- **Practice address:** 2470 SAMPSON STREET, BLDG 237, GREAT LAKES, IL 60088
- **Practice address phone:** (224) 610-4232
- **Practice address fax:** (224) 610-3712
- **Mailing address:** PO BOX 322, NORTH CHICAGO, IL 60064-0322
- **Mailing address phone:** (224) 610-4232
- **Mailing address fax:** (224) 610-3712

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 08/24/2015
