Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE ALFREDO NICOLA, IDC

Active

Independent Duty Corpsman · GREAT LAKES, IL

Registration Details

NPI Number: 1205891256
Provider Type: Individual
Gender: Male
NPI Issued: Apr 20, 2006 (20.034712405269 yrs)
Last Updated: Apr 18, 2008

Practice Information

Address: NAVAL HEALTH CLININC GREAT LAKES

BRANCH MEDICAL CLINIC 1007 USS TRANQUILITY

GREAT LAKES, IL, 60088
Browse IL providers · Browse ZIP 60088
Phone: 8476882522
Primary Specialty: Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in GREAT LAKES, IL

Name	Credential	NPI
MR. DAVID ROBERT JOHNSEN	NAVY IDC	1467420422
MR. RODGER M HOWARD	IDC	1205804242
MR. CLIFFORD LOREN MOUDY II	I.D.C.	1679541676
MR. JOSEPH ALAN BURMEISTER	IDC	1235199399
MR. RAYMOND LAWRENCE HOWARD SR.	—	1366502858
MR. JAMES R BUTTS	IDC	1679786057

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.