Dod Great Lakes Burkey Mall Ephcy

LBN: James A Lovell Fhcc
Dod Great Lakes Burkey Mall Ephcy is an health care organization with primary practice located at 2630 Green Bay Rd Bldg 3452 , North Chicago IL 60088-3303. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. James A Lovell Fhcc can be contacted via phone (847) 688-2772, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
2630 Green Bay Rd Bldg 3452 North Chicago IL 60088-3303
Phone: (847) 688-2772
Fax: (847) 688-2805
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1043625981
LBN Legal business name James A Lovell Fhcc
DBA Doing business as Dod Great Lakes Burkey Mall Ephcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2014
Last updated Nov 24th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043625981 NPPES
Other 2146521 PK

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