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

NPI Status: Active since August 23, 2007

Contact Information

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-4560

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About NBHC NCTC GREAT LAKES

This page provides the complete NPI Profile along with additional information for Nbhc Nctc Great Lakes, a provider established in Great Lakes, Illinois operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1295928257 assigned on August 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Duwayne Griepentrog (Comptroller)

NPI
1295928257
Provider Name
NBHC NCTC GREAT LAKES
Entity Type
Organization
Location Address
3001 6TH ST STE A GREAT LAKES, IL 60088
Location Phone
(847) 688-4560
Mailing Address
3001 6TH ST STE A GREAT LAKES, IL 60088
Mailing Phone
(847) 688-4560
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-23-2007
Last Update Date
08-23-2007
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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/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

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

DUWAYNE GRIEPENTROG

Authorized Official Title
COMPTROLLER
Authorized Official Phone
(847) 688-2888

Reviews for NBHC NCTC GREAT LAKES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295928257
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218518216210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 8 + 2 + 1 + 6 + 2 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1295928257 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. JOSEPH NEIL DEHOOGH D.D.S.

Dentist

(General Practice)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-2100

DR. KYLE SCHMIDT DDS

Dentist

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-4560

DR. BARBARA JEAN TOMCKO D.D.S.

Dentist

(General Practice)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-2100

WALTER GALLAGHER

Dentist

(General Practice)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-2755

DR. ROGER EDWARD HANKS DDS

Dentist

(General Practice)

3001 6TH ST STE A
NAVAL HEALTH CLINIC -BLDG 1017
GREAT LAKES, IL
ZIP 60088

(847) 688-2100

DR. CAROLYN F. ANDREWS PH. D.

Psychologist

(Clinical)

3001 6TH ST STE A
NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL
ZIP 60088

(847) 688-2221

DR. MARK EDWARD STONE DDS

Dentist

(General Practice)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-1900

DR. ANDREW I RADOVAN DDS

Dentist

(Oral and Maxillofacial Surgery)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-2100

DR. ERNESTO JUAN RIVERA JR. PHARM.D.

Pharmacist

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-3374

MR. MICHAEL ZENZ M.A.

Audiologist

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-4533

MR. RAYMOND LAWRENCE HOWARD SR.

Military Health Care Provider

(Independent Duty Corpsman)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-6755

DEEKSHA SETHI D.M.D

Dentist

(General Practice)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-2100

PROF. DAVID AARON GALVAN IDC

Military Health Care Provider

(Independent Duty Corpsman)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-7005

DR. JASON P THEOBALD DDS

Dentist

(General Practice)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-2100

NBHC NTC GREAT LAKES

Clinic/Center

(Military/U.S. Coast Guard Outpatient)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-4560

NBHC NCTC INPR GREAT LAKES

Clinic/Center

(Military/U.S. Coast Guard Outpatient)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-4560

BDC KANSAS CITY

Clinic/Center

(Military/U.S. Coast Guard Outpatient)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-4560

MELANIE MARIE FIORAMONTI MOHLER PHARMD

Pharmacist

3001 6TH ST STE A
BUILDING 200H
GREAT LAKES, IL
ZIP 60088

(847) 688-3375

JESSE C CABUYADAO

Military Health Care Provider

(Independent Duty Corpsman)

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088

(847) 688-4560

MRS. SHERRI LYNN KENIG

Social Worker

(Clinical)

3001 6TH ST STE A
NAVAL HEALTH CLINIC MENTAL HEALTH
GREAT LAKES, IL
ZIP 60088

(847) 688-3607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295928257, enumerated as an "organization" on August 23, 2007.

The provider is located at 3001 6TH ST STE A GREAT LAKES, IL 60088 and the phone number is (847) 688-4560.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.