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

KEITH MARTIN RAWLS, IDC

Active

KEITH MARTIN RAWLS, IDC is a Independent Duty Corpsman healthcare provider located in FORT SHERIDAN, Illinois. NPI 1871797514 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · FORT SHERIDAN, IL

Registration Details

NPI Number
1871797514
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2007 (19.132537212795 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
3540 WESTOVER RD APT A
FORT SHERIDAN, IL, 600371004
Browse IL providers · Browse ZIP 60037
Phone
8477884382
Primary Specialty
Independent Duty Corpsman
1710I1002X
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.