Organization · Type 2 NPI

NBHC NCTC Great Lakes

Military/U.S. Coast Guard Outpatient Clinic/Center · Great Lakes, IL

NPI number 1295928257 Active

Practice location

3001 6th St Ste A
Great Lakes, IL 60088-2833

Call (847) 688-4560 Map

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…

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About NPI 1295928257

NBHC NCTC Great Lakes's National Provider Identifier is 1295928257, issued on Aug 23, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Great Lakes, IL. The record was last updated on Aug 23, 2007.