Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VIGILANTE M.D (SENIOR MEDICAL OFFICER)
(847) 688-6755
Entity
Organization
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-6755
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-6755
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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