Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 37
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
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IDC Clinton Lariscy |
Individual |
3355 Illinois St Recruit Training Command Great Lakes Great Lakes, IL |
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IDC Rhonda Wiley |
Individual |
2410 Sampson St Great Lakes, IL |
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MR. IDC Marc Gerald Smith |
Individual |
3355 Illinois St Bldg 1007 Great Lakes, IL |
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MR. IDC James Albert Shumaker SR. |
Individual |
2430 Illinois Street 1007 Uss Tranquillity Great Lakes, IL |
|
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MR. Luis Victor Fernandez |
Individual |
2410 Sampson St Great Lakes, IL |
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MR. IDC Michael Ivan Arnold |
Individual |
328 W Biros Ln Round Lake, IL |
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MR. IDC John Dangca Vasquez |
Individual |
3001 6th St Great Lakes, IL |
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MR. IDC James R Butts |
Individual |
329 Dewy Ave Great Lakes, IL |
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IDC Brent Thomas Graceffa |
Individual |
107 Strawbridge Dr Rockton, IL |
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Kevin Thomas |
Individual |
1126 Furlong Dr Libertyville, IL |
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Jonathan Ramonbeebe |
Individual |
3694 Minnesota Ave Apt D Great Lakes, IL |
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IDC Lizzette Ann Lorenzo |
Individual |
3001 Green Bay Rd North Chicago, IL |
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Jessica Anita Reed |
Individual |
3001 Green Bay Rd North Chicago, IL |
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IDC Erik Lee Myers |
Individual |
Capt James A Lovell Fhcc North Chicago, IL |
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MR. IDC Rene Garcia Cantu JR. |
Individual |
Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL |
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MR. SFIDC Daniel Luis Orsini |
Individual |
3001 Greenbay Road North Chicago, IL |
|
|
IDC Steven Flannagan |
Individual |
420 Heatherwood Dr Oswego, IL |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 1710I1002X |
| Specialization | Independent Duty Corpsman |
| Display Name | Independent Duty Corpsman |
| Taxonomy Group | Other Service Providers |
| Taxonomy Classification | Military Health Care Provider |
| Definition | A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Effective Date | September 30, 2009 |