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
—
—
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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