Individual provider · Type 1 NPI
Jose Alfredo Nicola, IDC
Independent Duty Corpsman · Great Lakes, IL
Practice location
Naval Health Clininc Great Lakes, Branch Medical Clinic 1007 Uss Tranquility
Great Lakes, IL 60088
Mailing address
907 Buccaneer Dr Apt A
Glenview, IL 60026-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None 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 1205891256
Jose Alfredo Nicola, IDC's National Provider Identifier is 1205891256, issued on Apr 20, 2006. 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 18, 2008.