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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