Individual provider · Type 1 NPI

Luis Victor Fernandez

Independent Duty Corpsman · Great Lakes, IL

NPI number 1144588039 Active

Practice location

2410 Sampson St
Great Lakes, IL 60088-2942

Call (847) 688-2469 Map

Mailing address

2410 Sampson St., Bldg 237
Great Lakes, IL 60088

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: 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 othe…

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About NPI 1144588039

Luis Victor Fernandez's National Provider Identifier is 1144588039, issued on Apr 27, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Great Lakes, IL. The record was last updated on Apr 27, 2012.