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JOSE ALFREDO NICOLA IDC
NPI 1205891256
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since April 20, 2006
NAVAL HEALTH CLININC GREAT LAKES, BRANCH MEDICAL CLINIC 1007 USS TRANQUILITY, GREAT LAKES, IL 60088(847) 688-2522 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Alfredo Nicola Idc NPPES

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

JOSE ALFREDO NICOLA IDC (NPI 1205891256) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1205891256
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJOSE ALFREDO NICOLACredential: IDC
Location AddressNAVAL HEALTH CLININC GREAT LAKES, BRANCH MEDICAL CLINIC 1007 USS TRANQUILITYGreat Lakes, IL 60088
Mailing Address907 Buccaneer Dr Apt AGlenview, IL 60026-7047 · (847) 730-5246
Phone(847) 688-2522
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateApril 18, 2008
✔ NPI 1205891256 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.
NAVAL HEALTH CLININC GREAT LAKES, 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 Jose Nicola's NPI number?

The NPI number for Jose Nicola is 1205891256. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Jose Nicola located?

Jose Nicola practices at Naval Health Clininc Great Lakes Branch Medical Clinic 1007 Uss Tranquility, Great Lakes, IL 60088. The listed phone number is (847) 688-2522.

What is Jose Nicola'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 Jose Nicola was last updated on April 18, 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.