MR. MICHAEL PAUL COFFMAN IDC
NPI 1184883688
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since June 09, 2008
601 D STREET, GREAT LAKES, IL 60088(847) 688-4903 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Paul Coffman Idc NPPES

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

MR. MICHAEL PAUL COFFMAN IDC (NPI 1184883688) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1184883688
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MICHAEL PAUL COFFMANCredential: IDC
Location Address601 D STREETGreat Lakes, IL 60088-2822
Mailing Address601 D StGreat Lakes, IL 60088-2822 · (847) 688-4903
Sole ProprietorNo
Enumeration DateJune 9, 2008
NPI 1184883688 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
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 STREET, Great Lakes, IL 60088

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 Michael Coffman's NPI number?

The NPI number for Michael Coffman is 1184883688. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Michael Coffman located?

Michael Coffman practices at 601 D Street, Great Lakes, IL 60088. The listed phone number is (847) 688-4903.

What is Michael Coffman'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 Michael Coffman was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.