NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS is a military outpatient operational (transportable) component clinic center in Great Lakes, IL. The provider is non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS NPI is 1093044281. The provider is registered as an organization entity type.
The provider's business location address is:
3350 ILLINOIS ST
BLDG 1523
GREAT LAKES, IL
ZIP 60088-230
Phone: (847) 688-5568
Fax: (847) 688-4430
The provider's authorized official is Johnna Ann Morton .
The authorized official title is Independent Hospital Corpsman and has the following contact phone number (847) 688-5568.
The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/17/2009.