Individual provider · Type 1 NPI

David Robert Johnsen, NAVY IDC

Independent Duty Corpsman · Great Lakes, IL

NPI number 1467420422 Active

Practice location

3001A Sixth Street, Naval Hospital Fisher Clinic
Great Lakes, IL 60088

Call (847) 688-2469 Map

Fax (847) 688-2512

Mailing address

1130 Bob Ofarrell Ln
Beach Park, IL 60099-4512

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 1467420422

David Robert Johnsen, NAVY IDC's National Provider Identifier is 1467420422, issued on Mar 8, 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 Jun 6, 2008.