National Provider Identifier (NPI)
GREAT LAKES


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

GREAT LAKES · 3420 ILLINOIS ST · Search Result

NPI Name Taxonomy Address Enumeration
1952385148 Jason Todd Holdeman Psychologist 3420 Illinois St, Great Lakes, IL 60088-3161 2005-12-01
1750851788 Claire Kubiesa Psychologist 3420 Illinois St, Great Lakes, IL 60088-3161 2018-12-03
1003342536 Emily J Baker Physical Therapist 3420 Illinois St, Great Lakes, IL 60088-3161 2017-05-03
1346603594 Laura Megan Logeman Physician Assistant 3420 Illinois St, Great Lakes, IL 60088-3161 2016-04-04
1225407539 Kevin O'connor Physician Assistant 3420 Illinois St, Great Lakes, IL 60088-3161 2015-09-16
1245595776 Alma Teresa C Molino Psychologist 3420 Illinois St, Great Lakes, IL 60088-3161 2012-07-10
1245529304 Erin Graham Student in an Organized Health Care Education/Training Program 3420 Illinois St, Bldg 1007, Great Lakes, IL 60088-3161 2011-03-29
1588895742 Kermit Salivia Family Medicine 3420 Illinois St, Great Lakes, IL 60088-3161 2009-08-05
1083898290 Warren K Kennedy Physician Assistant 3420 Illinois St, Great Lakes, IL 60088-3120 2007-12-24
1346435112 Jason Yungsup Kim Family Medicine 3420 Illinois St, Uss Tranquillity Clinic 1007, Great Lakes, IL 60088-3161 2007-09-13
1972793909 Brett Staib Military Health Care Provider 3420 Illinois St, Bhc 1007, Great Lakes, IL 60088-3120 2007-07-26
1972681708 Joseph B. Youkhana Family Medicine 3420 Illinois St, Uss Tranquility Medical Clinic, Great Lakes, IL 60088-3120 2006-11-01
1407955032 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3420 Illinois St, Uss Tranquilityah14 Med Cln 1017, Great Lakes, IL 60088-3161 2006-09-21
1548367394 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3420 Illinois St, Ah14 Medical Clinic, Great Lakes, IL 60088-3161 2006-09-20
1679593214 William Roy Welder Family Medicine 3420 Illinois St, Great Lakes, IL 60088-3120 2006-07-19
1437110095 Nemesia Figueras Artates General Practice 3420 Illinois St, Great Lakes, IL 60088-3120 2006-03-31
1164482212 William Harreld Peterson Physician Assistant 3420 Illinois St, Uss Tranquility Medical Clinic 1007, Great Lakes, IL 60088-5230 2006-03-24
1205807823 Douglas Lee Hazen Psychologist 3420 Illinois St, Reu - Uss Tranquillity, Great Lakes, IL 60088-3120 2006-01-31
1740251214 Julie Lynn Ruddy Psychologist 3420 Illinois St, Recruit Mental Health, Uss Tranquillity, Great Lakes, IL 60088-3120 2006-01-31
1639157142 Michael Edward Mcgarry Family Medicine 3420 Illinois St, Uss Tranquillity - Bmc 1007, Great Lakes, IL 60088-3120 2006-01-04
1528042280 John E. Dalton Psychologist 3420 Illinois St, Reu, Building 1007, Great Lakes, IL 60088-3120 2005-12-05
1649778929 Michael Ryan Cohen General Practice 3420 Illinois St Ste 1007, Great Lakes, IL 60088-3161 2018-02-01
1245389329 Travis Scott Parris Psychologist 3420 Illinois St., Naval Health Clinic Great Lakes, Uss Tranquillity, Rmh, Great Lakes, IL 60088-5230 2007-01-09
1770544835 Jerome Thomas Campbell II Physician Assistant 3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, IL 60088-5230 2006-03-29
1407918360 Uss Tranq - Turn Two Phcy Military/U.S. Coast Guard Pharmacy 3420 Illinois Street, Great Lakes, IL 60088 2006-12-15
1205804242 Rodger M Howard Military Health Care Provider 3420 Illinois Street Bldg 1007, Great Lakes, IL 60088 2006-03-08