NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS
NPI 1093044281
Clinic/Center - Military Outpatient Operational (Transportable) Component in Great Lakes, IL

NPI Status: Active since December 17, 2009

Contact Information

3350 ILLINOIS ST
BLDG 1523
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-5568
Fax: (847) 688-4430

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  • Organization
  • Clinic/Center
  • Military Outpatient Operational (Transpo...

About NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS

This page provides the complete NPI Profile along with additional information for Naval Health Clinic Great Lakes Illinois, a provider established in Great Lakes, Illinois operating as a Clinic/center, focusing in military outpatient operational (transportable) component . The healthcare provider is registered in the NPI registry with number 1093044281 assigned on December 2009. The practitioner's primary taxonomy code is 261QM1102X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Miss Johnna Ann Morton (Independent Hospital Corpsman)

NPI
1093044281
Provider Name
NAVAL HEALTH CLINIC GREAT LAKES ILLINOIS
Entity Type
Organization
Location Address
3350 ILLINOIS ST BLDG 1523 GREAT LAKES, IL 60088
Location Phone
(847) 688-5568
Location Fax
(847) 688-4430
Mailing Address
3350 ILLINOIS STREET BLDG 1523 GREAT LAKES, IL 60088
Mailing Phone
(847) 688-5568
Mailing Fax
(847) 688-4430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2009
Last Update Date
12-17-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military Outpatient Operational (Transportable) Component

Taxonomy Code
261QM1102X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS JOHNNA ANN MORTON

Authorized Official Title
INDEPENDENT HOSPITAL CORPSMAN
Authorized Official Phone
(847) 688-5568

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093044281, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 0 + 4 + 8 + 2 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093044281.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Military/U.S. Coast Guard Outpatient)
3350 ILLINOIS ST
GREAT LAKES, IL 60088
Optometrist
3350 ILLINOIS ST
GREAT LAKES, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093044281, enumerated as an "organization" on December 17, 2009.

The provider is located at 3350 ILLINOIS ST BLDG 1523 GREAT LAKES, IL 60088 and the phone number is (847) 688-5568.

Clinic/Center with taxonomy code 261QM1102X and a focus in Military Outpatient Operational (Transportable) Component.