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Naval Health Clinic Great Lakes Illinois
Military Outpatient Operational (Transportable) Component Clinic/Center in Great Lakes, Illinois
NPI 1093044281

Naval Health Clinic Great Lakes Illinois is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Great Lakes, IL and is specialized in Military Outpatient Operational (Transportable) Component. Naval Health Clinic Great Lakes Illinois practices in Great Lakes, IL. The NPI Number for Naval Health Clinic Great Lakes Illinois is 1093044281 and holds a License No. (Illinois).

The current practice location address for Naval Health Clinic Great Lakes Illinois is 3350 Illinois St, Great Lakes, IL and can be reached out via phone at 847-688-5568 and via fax at 847-688-4430.

Location: 3350 Illinois St, Great Lakes, IL, 60088-5230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093044281
Provider Name
Naval Health Clinic Great Lakes Illinois
Credential
Provider Entity Type
Organization
Address
3350 Illinois St, Great Lakes, IL, 60088-5230
Phone Number
847-688-5568
Fax Number
847-688-4430
Provider Enumeration Date
12/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3350 Illinois St
City
Great Lakes
State
Illinois
Zip
60088-5230
Phone Number
847-688-5568
Fax Number
847-688-4430
person
Provider Business Mailing Address Details
Address
3350 Illinois St
City
Great Lakes
State
Illinois
Zip
60088-5230
Phone Number
847-688-5568
Fax Number
847-688-4430
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
()
Definition
"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.
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