Individual provider · Type 1 NPI

Clifford Loren Moudy Ii, I.D.C.

Independent Duty Corpsman · Great Lakes, IL

NPI number 1679541676 Active

Practice location

3001A Sixth St, Naval Hospital Great Lakes
Great Lakes, IL 60088-5230

Call (847) 688-2616 Map

Mailing address

26800 104th St
Trevor, WI 53179-9619

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 1679541676

Clifford Loren Moudy Ii, I.D.C.'s National Provider Identifier is 1679541676, 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 Jul 13, 2026.