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Michael Coffman, IDC — NPI 1184883688, Great Lakes, IL | NPI Central

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NPI 1184883688

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Michael Coffman, IDC

NPI 1184883688 · Independent Duty Corpsman · Great Lakes, IL

Provider details

NPI number: 1184883688
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

601 D Street

Great Lakes, IL 60088-2822

Phone: (847) 688-4903

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

601 D St

Great Lakes, IL 60088-2822

Registry dates

Enumerated: 2008-06-09
Last updated: 2008-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.