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Organization

JAMES A LOVELL FHCC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G BUCKLEY MD, MPH, FACEP (CAPTAIN)
(224) 610-3735
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
04/05/2006
Last updated
08/24/2015
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