MR. JOSEPH THOMAS MINICH OTHER
NPI 1346454808
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since May 10, 2007
2410 SAMPSON ST BLDG 237, GREAT LAKES, IL 60088(847) 688-2469 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Joseph Thomas Minich Other NPPES

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

MR. JOSEPH THOMAS MINICH OTHER (NPI 1346454808) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1346454808
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JOSEPH THOMAS MINICHCredential: OTHER
Location Address2410 SAMPSON ST BLDG 237Great Lakes, IL 60088-2942
Mailing Address9517 69th StKenosha, WI 53142-8114 · (708) 280-7356
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1346454808 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.
2410 SAMPSON ST BLDG 237, Great Lakes, IL 60088

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military/U.S. Coast Guard Pharmacy
2410 SAMPSON ST BLDG 237
GREAT LAKES, IL 60088
Dentist
2410 SAMPSON ST BLDG 237
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 Joseph Minich's NPI number?

The NPI number for Joseph Minich is 1346454808. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Joseph Minich located?

Joseph Minich practices at 2410 Sampson St Bldg 237, Great Lakes, IL 60088. The listed phone number is (847) 688-2469.

What is Joseph Minich'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 Joseph Minich was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.