NBHC NCTC INPR GREAT LAKES
NPI 1922292291
Clinic/Center - Military/U.S. Coast Guard Outpatient in Great Lakes, IL

Active since August 30, 2007
3001 6TH ST STE A, GREAT LAKES, IL 60088(847) 688-4560 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About NBHC NCTC INPR GREAT LAKES

This page provides the complete NPI Profile along with additional information for Nbhc Nctc Inpr 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 1922292291 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 19 years ago. The authorized official of this NPI record is Duwayne Brozek (Comptoller)

NPI
1922292291 Verify this NPI
Provider Name
NBHC NCTC INPR 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
08-30-2007
Last Update Date
08-30-2007
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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/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 BROZEK

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

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Other Providers at the Same Location


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

Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A, NAVAL HEALTH CLINIC -BLDG 1017
GREAT LAKES, IL 60088
Psychologist (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (Oral and Maxillofacial Surgery)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Pharmacist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Audiologist
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
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
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Pharmacist
3001 6TH ST STE A, BUILDING 200H
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922292291, enumerated as an "organization" on August 30, 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.