IndividualActive
James Shumaker, IDC
NPI 1699046482 · Independent Duty Corpsman · Great Lakes, IL
Provider details
- NPI number
- 1699046482
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2430 Illinois Street
1007 Uss Tranquillity
Great Lakes, IL 60088-4209
Phone: (847) 688-6755
Approximate (ZIP-level) locationGet directions
Mailing address
2430 Illinois Street
Great Lakes, IL 60088
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2012-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.