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 · Search Result

NPI Name Taxonomy Address Enumeration
1023628948 Won Hee Yu Dentist 1906 Arkansas Ave, Great Lakes, IL 60088-4243 2020-08-05
1568085231 Austin Combs Student in an Organized Health Care Education/Training Program 3697 Great Lakes Dr Apt A, Great Lakes, IL 60088-1741 2020-05-28
1043858228 Kathryn Ann Bird Dentist 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 2019-12-18
1881256832 Sreedevi Pallath Harshakumar Internal Medicine 1951 Langley St Apt C, Great Lakes, IL 60088-1021 2019-06-30
1740775576 Jonathan William Criter Dentist 3400 Ohio St, Great Lakes, IL 60088 2018-06-25
1649778929 Michael Ryan Cohen General Practice 3420 Illinois St Ste 1007, Great Lakes, IL 60088-3161 2018-02-01
1982123790 Jennifer Ann Kolin Dentist 3440 Ohio St Bldg 1017, Great Lakes, IL 60088-3155 2017-09-12
1245769488 Michael Robert Hess Dentist 530 Farragut Ave # B, Great Lakes, IL 60088-2920 2017-06-10
1376095927 Stephen Phillip Demien Marriage & Family Therapist 2440 New York Ave Apt B, Great Lakes, IL 60088-2217 2016-10-31
1215333299 Jonathan Ramonbeebe Military Health Care Provider 3694 Minnesota Ave Apt D, Great Lakes, IL 60088-1714 2014-11-18
1356741458 Jessica Caracciolo Specialist/Technologist 4122 Shark Ct Apt A, Great Lakes, IL 60088-1142 2014-08-26
1679987879 Alexandre Derevianko Specialist/Technologist, Other 1811 Arkansas Ave, Great Lakes, IL 60088-4244 2014-06-16
1285071324 Hoang Harry Huy Joseph Tran Optometrist 530 Farragut Ave, Great Lakes, IL 60088-2920 2013-05-30
1437438421 David Lawrence Green Dentist 2410 Samson St., Bldg 237, Great Lakes, IL 60088 2011-08-09
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1831406719 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 3440 Ohio St, Bldg 1017, Great Lakes, IL 60088-3155 2010-09-13
1790092674 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 2010-09-13
1285941740 Desiree Richardson Registered Nurse 1801 Alabama Ave, Great Lakes, IL 60088-4246 2010-09-07
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1588995377 David Stubbs Dentist 2601e Paul Jones St, Building 42, Great Lakes, IL 60088-2845 2010-01-19
1083943906 James Doll Dentist 2608 Paul Jones St, Great Lakes, IL 60088 2009-12-24
1144557208 Naval Health Clinic Great Lakes Clinic/Center 3350 Illinois St, Great Lakes, IL 60088-5230 2009-11-11
1760634075 Tara Boyd Speech-Language Pathologist 1808 Arkansas Ave, Great Lakes, IL 60088-4244 2008-10-17
1396996823 Kelly Robert Lanning Dentist 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 2008-10-02
1841453750 Peter Jerome Hammes Dentist 3001a Sixth Street Bldg 200h 4e, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 2008-07-10
1225291735 Michael Shawn Donoghue Dentist 3001a Sixth St Building 1017, Great Lakes, IL 60088-5230 2008-07-03
1497917876 Scott David Arnold Military Health Care Provider 320 Dewey Ave Ste A, Naval Special Warfare Preparatory School Bldg 322, Great Lakes, IL 60088-2911 2008-06-27
1861653636 Ruth Ann Little Licensed Practical Nurse 2548 N Admiral Dr, Great Lakes, IL 60088-2302 2008-06-24
1184883688 Michael Paul Coffman Military Health Care Provider 601 D Street, Great Lakes, IL 60088-2822 2008-06-09
1124285556 Latosha Monique Mayes Pharmacist 3001 1a 6th Street, Great Lakes, IL 60088 2008-05-22
1871770248 Robert George Burcal Dentist 2730 Sampson Road, Rtc Bldg 1017, Great Lakes, IL 60088-5258 2008-01-28
1184809048 Rodolfo Pineda Manansala Military Health Care Provider 601 D St Bldg 130-h, Great Lakes, IL 60088-2822 2008-01-09
1669656054 Jesse Robert Geibe Preventive Medicine 2410 Sampson St. (fisher Health Clinic/nhc-503), Naval Health Clinic Great Lakes, Great Lakes, IL 60088-2942 2007-12-21
1346454808 Joseph Thomas Minich Military Health Care Provider 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2007-05-10
1679786057 James R Butts Military Health Care Provider 329 Dewy Ave, Great Lakes, IL 60088 2007-05-08
1144361049 Bonnie J. Kimoto Dietitian, Registered 3001a 6th St., Naval Health Clinic, Great Lakes, IL 60088-3210 2007-02-12
1245389329 Travis Scott Parris Psychologist 3420 Illinois St., Naval Health Clinic Great Lakes, Uss Tranquillity, Rmh, Great Lakes, IL 60088-5230 2007-01-09
1508965120 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2006-09-21
1336248962 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 2006-09-21
1427077387 Kathy Ann January Registered Nurse 2364 Delaware Ave, Apt A, Great Lakes, IL 60088-2532 2006-07-19
1730125394 John Paul Haxton Dentist Fisher Clinic, 2410 Sampson St., Bldg 237, Great Lakes, IL 60088-5230 2006-06-21
1831157783 John Franklin Miller Dentist 3301a 6th St, Bldg 1017, Great Lakes, IL 60088-0001 2006-05-02
1205891256 Jose Alfredo Nicola Military Health Care Provider Naval Health Clininc Great Lakes, Branch Medical Clinic 1007 Uss Tranquility, Great Lakes, IL 60088 2006-04-20
1881657385 Francisco Obedoza Family Medicine Bmc 1007, Naval Hospital Great Lakes, Great Lakes, IL 60088 2006-04-07
1801858741 James A Lovell Fhcc Clinic/Center 2470 Sampson Street, Bldg 237, Great Lakes, IL 60088 2006-04-05
1205897493 Pamela Elayne Jones Williamson Pediatrics 3001a 6th Street, Great Lakes, IL 60088 2006-03-29
1770544835 Jerome Thomas Campbell II Physician Assistant 3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, IL 60088-5230 2006-03-29
1154380947 Eden U Padilla Military Health Care Provider Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 2006-03-21
1205804242 Rodger M Howard Military Health Care Provider 3420 Illinois Street Bldg 1007, Great Lakes, IL 60088 2006-03-08
1902872062 Matthew Lamar Mccoucha Nurse Anesthetist, Certified Registered Naval Hospital Great Lakes, 3001 A 6th Street, Great Lakes, IL 60088 2006-02-27
1487629416 Jeffrey A Staples Dentist 320 B St, Bldg 38h, Great Lakes, IL 60088-2815 2006-02-22
1346215480 Gregory C Browning Dentist 310c B St, Bldg 1h, Great Lakes, IL 60088 2006-02-22
1659346328 Dennis Allen Runyan Dentist Great Lakes Naval Training Center, Great Lakes, IL 60088 2006-02-17
1376517672 Stephen Michael Parker Dentist 601 D St, Great Lakes, IL 60088-2822 2006-02-14
1366414948 Anne H. Clinton-cirocco Social Worker 3001 A Sixth Street, Great Lakes, IL 60088 2006-02-07
1902877350 Timothy Paul Fitzharris Dentist 2730 Sampson Rd, Great Lakes, IL 60088-2852 2006-02-01
1336110501 Ritesh Dhiru Radadia Dentist Naval Hospital Great Lakes, Bld. 200h, Great Lakes, IL 60088 2006-01-27
1093785545 Jeffrey Vincent Jones Psychiatry & Neurology 3001 A-sixth Street, Great Lakes, IL 60088 2006-01-26
1952371031 Sang Soo John Grzesik Dentist 3001 'a' 6th St, Nhc Great Lakes, Great Lakes, IL 60088 2006-01-23
1396725529 Darryl Lamar Jones Dentist 3001 A 6th Street, Great Lakes, IL 60088 2006-01-23
1164401246 Gerald J. George Pharmacist 3001 A 6th St, Great Lakes, IL 60088 2006-01-17
1083693428 Jesse Harris Monestersky Family Medicine 3001a Sixth Street, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 2006-01-13
1144208646 Eslin Louise Mornay Dentist 3001a Sixth St., Naval Hospital Great Lakes, Great Lakes, IL 60088 2006-01-04
1649257403 John J Murphy Dentist 3001 A Sixth St, Great Lakes, IL 60088-5211 2005-12-22
1689650467 Sheryl Thykattil Dentist 3001 A Sixth St., Naval Hospital Great Lakes, Great Lakes, IL 60088-5211 2005-12-22
1902882525 Corrie Anne Pearson Registered Nurse 30016th Street, Great Lakes, IL 60088 2005-12-15
1376528083 Joseph Neil Dehoogh Dentist 3001 6th St Ste A, Great Lakes, IL 60088-2833 2005-12-14
1952385148 Jason Todd Holdeman Psychologist 3420 Illinois St, Great Lakes, IL 60088-3161 2005-12-01
1891779146 Jennifer Brattland Ota Internal Medicine 3001a Sixth St, Internal Medicine Clinic, Great Lakes, IL 60088-5230 2005-11-30
1003807603 Geoffrey Allen Thompson Dentist 310 B Street, Great Lakes, IL 60088-5259 2005-11-02
1033109368 Nils Anderson Psychiatry & Neurology 3001a 6th St, Dept of Specialty Medicine, Naval Health Clinic, Great Lakes, IL 60088-2811 2005-10-27
1306836697 Alica Kelly Bartlett Nurse Practitioner 1020 11th Ave, Great Lakes, IL 60088-3102 2005-10-27
1366431504 Deborah Jeanne Galen General Practice 2410 Sampson St, Fisher Clinic, Bldg 237, Great Lakes, IL 60088-2942 2005-10-20
1184610446 Myron William Yencha Otolaryngology 3001 6th St, Dept Otolaryngology, Naval Hospital, Great Lakes, IL 60088-2833 2005-09-22
1972598696 Peter Andrew Morawiecki Pathology Naval Health Clinic Great Lakes, Laboratory Dept, 3001 A Sixth St, Great Lakes, IL 60088 2005-09-19
1467451948 Judy Ann Dixon Registered Nurse Rtc Great Lakes Bldg 1523, Great Lakes, IL 60088 2005-07-18
1275146862 Lillian Hwei-shin Yu Dentist 3440 Ohio St Bldg 1017, Great Lakes, IL 60088-3155 2020-08-25
1356954945 Cheyne Ian Yueji Horie Dentist 3440 Ohio St Bldg 1017, Great Lakes, IL 60088-3155 2020-08-25
1407466337 Kandis Carter Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2020-08-05
1346850260 Peter Yao Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2020-08-05
1437769361 Gabriel Casias Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2020-08-05
1225656564 Cameron Dutt Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2020-07-13
1679197917 Adeleke Mowobi Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2020-06-02
1932723467 Amanda Christine Perlinski Physician Assistant 3697 Great Lakes Dr Apt A, Great Lakes, IL 60088-1741 2020-06-01
1457992240 Thomas-eden Carr Pike Dentist 2470 Sampson Street, Great Lakes, IL 60088 2019-10-02
1356997076 Bradley Shemluck Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2019-08-18
1821644816 Ryan Ahrends Twaddle Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2019-08-14
1225690670 Jin Wung Hwang Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2019-07-07
1669034716 David Paul Anguiano Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2019-06-28
1194386300 Chase James Gottschalk Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2019-06-27
1821658501 Marin Rhea Lehman Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2019-06-16
1043878358 Shannan Jesse Walker Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2019-05-31
1750851788 Claire Kubiesa Psychologist 3420 Illinois St, Great Lakes, IL 60088-3161 2018-12-03
1265915672 Daniel Victor Wright Dentist 3440 Ohio St Bldg 1017, Great Lakes, IL 60088-3155 2018-09-11
1780160556 Clinton Bissell Butler IIi Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2018-07-16
1942786710 Joseph Phillip Yancho Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2018-07-16
1285120543 Daria Hyeri Lee Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2018-07-10
1740775675 Nathaniel Alexander Holt Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2018-06-23
1366953937 Kristofer Scott Harris Dentist 3440 Ohio St, Great Lakes, IL 60088-3155 2017-10-23