Captain James a Lovell Federal Health Care Center

Primary specialty

Federal Public Health Clinic/CenterTaxonomy code 261QP0904X

Legal business name

CAPTAIN JAMES A LOVELL FEDERAL HEALTH CARE CENTER

Practice address

3001 Green Bay Rd BLDG 7
North Chicago, IL 60064-3048

Phone

(224) 627-2804

Fax

(224) 610-3852

NPI assigned

Oct 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Catherine A Spillner, LCSW

Title

Executive Assistant to the Cme

Phone

(224) 610-3009

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew L Fetrow

  • Clinical Social Worker
  • Pearland, TX
  • NPI 1689274763
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1245830967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD BLDG 7",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "fax_number": "224-610-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD BLDG 7",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "224-627-2804",
            "fax_number": "224-610-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTAIN JAMES A LOVELL FEDERAL HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SPILLNER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO THE CME",
        "authorized_official_telephone_number": "224-610-3009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Campbell
• Kaylee Elizabeth Caniff, PHARMD
• Preston Baldwin Cannady Jr., M.D.
• Rene Garcia Cantu Jr., IDC
• Anthony Robert Cappello
• Captain James a. Lovell Federal Health Care Center
• Isamali Carani, RD LDN CDE
• Margaret Mae Carey
• Mitchell Carey, DDS
• Jo Ann Carlson, MSW

• Clinic/Center in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.