Individual provider · Type 1 NPI

Brett Staib, NAVY IDC

Independent Duty Corpsman · Great Lakes, IL

NPI number 1972793909 Active

Practice location

3420 Illinois St, Bhc 1007
Great Lakes, IL 60088-3120

Call (847) 688-7536 Map

Mailing address

3420 Illinois Street
Great Lakes, IL 60088-5230

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 1972793909

Brett Staib, NAVY IDC's National Provider Identifier is 1972793909, issued on Jul 26, 2007. 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 26, 2007.