OrganizationActive
Nbhc Nctc Great Lakes
NPI 1295928257 · Military/U.S. Coast Guard Outpatient Clinic/Center · Great Lakes, IL
Provider details
- NPI number
- 1295928257
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Naval Health Clinic Great Lakes
- Organization subpart
- Yes
- Authorized official
- Duwayne Griepentrog, Comptroller(847) 688-2888
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3001 6th St Ste a
Great Lakes, IL 60088-2833
Phone: (847) 688-4560
Approximate (ZIP-level) locationGet directions
Mailing address
3001 6th St Ste a
Great Lakes, IL 60088-2833
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2007-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.