JOSE NICOLA, IDC
Military Health Care Provider - Independent Duty Corpsman
Active
Individual
NPI: 1205891256
Practice Address
NAVAL HEALTH CLININC GREAT LAKESBRANCH MEDICAL CLINIC 1007 USS TRANQUILITY
Great Lakes, IL 60088
Phone: (847) 688-2522
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Corpsman | 1710I1002X | Yes | - |
Frequently Asked Questions
NPI 1205891256 is the National Provider Identifier for JOSE NICOLA, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Great Lakes, IL. This NPI was enumerated on April 20, 2006.
JOSE NICOLA, IDC practices at NAVAL HEALTH CLININC GREAT LAKES, BRANCH MEDICAL CLINIC 1007 USS TRANQUILITY, Great Lakes, IL 60088.
Quick Facts
- NPI
- 1205891256
- Type
- Individual
- Enumerated
- Apr 20, 2006
- Last Updated
- Apr 18, 2008
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