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MR. RODOLFO PINEDA MANANSALA INDEPENDENT DUTY HM
NPI 1184809048
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since January 09, 2008
601 D ST BLDG 130-H, GREAT LAKES, IL 60088(847) 688-3412 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Rodolfo Pineda Manansala Independent Duty Hm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RODOLFO PINEDA MANANSALA INDEPENDENT DUTY HM (NPI 1184809048) is an individual independent duty corpsman provider in Great Lakes, Illinois, licensed in California (1710I1002X) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1184809048
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. RODOLFO PINEDA MANANSALACredential: INDEPENDENT DUTY HM
Location Address601 D ST BLDG 130-HGreat Lakes, IL 60088-2822
Mailing Address950 Elfering LnAntioch, IL 60002-6404 · (847) 688-3412
Phone(847) 688-3412
Sole ProprietorYes
Enumeration DateJanuary 9, 2008
Last NPPES UpdateAugust 27, 2009
✔ NPI 1184809048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
License✔ Licensed in CA · 1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
601 D ST BLDG 130-H, Great Lakes, IL 60088
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodolfo Manansala's NPI number?

The NPI number for Rodolfo Manansala is 1184809048. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Rodolfo Manansala located?

Rodolfo Manansala practices at 601 D St Bldg 130-H, Great Lakes, IL 60088. The listed phone number is (847) 688-3412.

What is Rodolfo Manansala's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Rodolfo Manansala was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.