IndividualActive
Rene Cantu, IDC
NPI 1013315068 · Independent Duty Corpsman · North Chicago, IL
Provider details
- NPI number
- 1013315068
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Practice location
Captain James A. Lovell Federal Health Care Center
3001 Green Bay Road
North Chicago, IL 60064
Phone: (224) 610-7501
Mailing address
10816 E Riviera Dr
Spring Grove, IL 60081-7813
Registry dates
- Enumerated
- 2014-12-08
- Last updated
- 2018-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.