IndividualActive
Rhonda Wiley, IDC
NPI 1447564232 · Independent Duty Corpsman · Great Lakes, IL
Provider details
- NPI number
- 1447564232
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Mailing address
1710 Kayla Ln
Waukegan, IL 60087-5056
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2010-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.