IndividualActive
Rodger Howard, IDC
NPI 1205804242 · Independent Duty Corpsman · Great Lakes, IL
Provider details
- NPI number
- 1205804242
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
Specialties & taxonomies
Other Service Providers
Practice location
3420 Illinois Street Bldg 1007
Great Lakes, IL 60088
Phone: (847) 688-6755
Approximate (ZIP-level) locationGet directions
Mailing address
2086 B Lexington Ave
Great Lakes, IL 60088
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.