IndividualActive
Raymond Howard
NPI 1366502858 · Independent Duty Corpsman · Great Lakes, IL
Provider details
- NPI number
- 1366502858
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3001 6th St Ste a
Great Lakes, IL 60088-2833
Phone: (847) 688-6755
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Barberry Ln
Round Lake Beach, IL 60073-2312
Registry dates
- Enumerated
- 2006-12-12
- 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.