NBHC NCTC GREAT LAKES
NPI 1295928257
Clinic/Center - Military/U.S. Coast Guard Outpatient in Great Lakes, IL

Active since August 23, 2007
3001 6TH ST STE A, GREAT LAKES, IL 60088(847) 688-4560 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nbhc Nctc Great Lakes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NBHC NCTC GREAT LAKES (NPI 1295928257) is a healthcare organization registered as a military/u.s. coast guard outpatient in Great Lakes, Illinois and active in the NPI registry since August 2007. The organization lists Duwayne Griepentrog, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1295928257
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameNBHC NCTC GREAT LAKES
Location Address3001 6TH ST STE AGreat Lakes, IL 60088-2833
Mailing Address3001 6th St Ste AGreat Lakes, IL 60088-2833 · (847) 688-4560
Organization SubpartYesParent: Naval Health Clinic Great Lakes
Authorized OfficialDuwayne GriepentrogComptroller · (847) 688-2888
Enumeration DateAugust 23, 2007
NPI 1295928257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition

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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

3001 6TH ST STE A, Great Lakes, IL 60088

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Audiologist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Social Worker (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC MENTAL HEALTH
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nbhc Nctc Great Lakes's NPI number?

The NPI number for Nbhc Nctc Great Lakes is 1295928257. It was assigned to this organization in the NPPES registry on August 23, 2007.

Where is Nbhc Nctc Great Lakes located?

Nbhc Nctc Great Lakes is located at 3001 6th St Ste A, Great Lakes, IL 60088. The listed phone number is (847) 688-4560.

What is Nbhc Nctc Great Lakes's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Nbhc Nctc Great Lakes was last updated on August 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.