Active NPI
Captain James a. Lovell Federal Health Care Center
- Military Hospital
- North Chicago, IL
National Provider Identifier
1417202839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 149.015260
- Legal business name
- CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
- Practice address
- 3001 Green Bay Rd
North Chicago, IL 60064-3048 - Phone
- (847) 877-9238
- NPI assigned
- Jul 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Lee Marolt, LCSW
- Title
- Social Worker
- Phone
- (847) 877-9238
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 149.015260 | IL | Primary |
Addresses
Primary practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Mailing address
3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone (847) 877-9238
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343001600000",
"number": "1417202839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643048",
"telephone_number": "847-877-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643048",
"telephone_number": "847-877-9238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A",
"authorized_official_last_name": "MAROLT",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "847-877-9238",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "IL",
"license": "149.015260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.