NPIMap

Organization Active NPI

James a Lovell FHCC

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Great Lakes, IL
National Provider Identifier
1801858741
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
JAMES A LOVELL FHCC
Practice address
2470 Sampson Street
BLDG 237
Great Lakes, IL 60088
Phone
(224) 610-4232
Fax
(224) 610-3712
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Mr. Robert G Buckley, MD, MPH, FACEP
Title
Captain
Phone
(224) 610-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

2470 Sampson Street
BLDG 237
Great Lakes, IL 60088

Mailing address

PO Box 322
North Chicago, IL 60064-0322
Phone (224) 610-4232

National Provider Directory

National Provider Directory
Tax ID family
James a Lovell FHCC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2470 Sampson St BLDG 237
BLDG 237
Great Lakes, IL 60088
Phone (224) 610-4232

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1801858741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600640322",
            "telephone_number": "224-610-4232",
            "fax_number": "224-610-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAMPSON STREET",
            "address_2": "BLDG 237",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "224-610-4232",
            "fax_number": "224-610-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A LOVELL FHCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "224-610-3735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, MPH, FACEP"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Lakes, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.