NAVAL HEALTH CLINIC GREAT LAKES is a military/u.s. coast guard outpatient clinic center in Great Lakes, IL. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. NAVAL HEALTH CLINIC GREAT LAKES NPI is 1144557208. The provider is registered as an organization entity type.
The provider's business location address is:
3350 ILLINOIS ST
GREAT LAKES, IL
ZIP 60088-230
Phone: (847) 688-5568
Fax: (847) 688-2289
The provider's authorized official is Jesse Geibe .
The authorized official title is Medical Officer and has the following contact phone number (847) 688-6712.
The enumeration date for this NPI number is 11/11/2009 and was last updated on 11/11/2009.