OrganizationActive
Nbhc Nctc Inpr Great Lakes
NPI 1922292291 · Military/U.S. Coast Guard Outpatient Clinic/Center · Great Lakes, IL
Provider details
- NPI number
- 1922292291
- 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 Brozek, Comptoller(847) 688-2888
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3001 6th St Ste a
Great Lakes, IL 60088-2833
Phone: (847) 688-4560
Street-level locationGet directions
Mailing address
3001 6th St Ste a
Great Lakes, IL 60088-2833
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2007-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.