Organization
NAVAL HEALTH CLINIC GREAT LAKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE GEIBE M.D. (MEDICAL OFFICER)
(847) 688-6712
Entity
Organization
Contact information
Practice address
3350 ILLINOIS ST, GREAT LAKES, IL 60088-5230
(847) 688-5568
(847) 688-2289
Mailing address
3350 ILLINOIS STREET BLDG 1523, APO, AE 60088-5230
(846) 688-5568
(847) 688-2289
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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