MR. DAVID ROBERT JOHNSEN NAVY IDC
NPI 1467420422
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since March 08, 2006
3001A SIXTH STREET, NAVAL HOSPITAL FISHER CLINIC, GREAT LAKES, IL 60088(847) 688-2469(847) 688-2512 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Robert Johnsen Navy Idc NPPES

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

MR. DAVID ROBERT JOHNSEN NAVY IDC (NPI 1467420422) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1467420422
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. DAVID ROBERT JOHNSENCredential: NAVY IDC
Location Address3001A SIXTH STREET, NAVAL HOSPITAL FISHER CLINICGreat Lakes, IL 60088
Mailing Address1130 Bob Ofarrell LnBeach Park, IL 60099-4512 · (847) 263-8867
Fax(847) 688-2512
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJune 6, 2008
NPI 1467420422 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.

3001A SIXTH STREET, Great Lakes, IL 60088

Other Providers at the Same Location NPPES 11

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

Dentist
3001A SIXTH STREET, NAVAL HOSPITAL N00211
GREAT LAKES, IL 60088
Psychiatry & Neurology (Psychiatry)
3001A SIXTH STREET, BUILDING 200H, 9TH FLOOR
GREAT LAKES, IL 60088
Pathology (Anatomic Pathology & Clinical Pathology)
3001A SIXTH STREET, LABORATORY, NAVAL HEALTH CLINIC GREAT LAKES
GREAT LAKES, IL 60088
Physician Assistant
3001A SIXTH STREET
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3001A SIXTH STREET
GREAT LAKES, IL 60088
Psychologist (Clinical)
3001A SIXTH STREET
GREAT LAKES, IL 60088
Nurse Practitioner (Women's Health)
3001A SIXTH STREET, NAVAL HOSPITAL GREAT LAKES
GREAT LAKES, IL 60088
Military/U.S. Coast Guard Pharmacy
3001A SIXTH 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 David Johnsen's NPI number?

The NPI number for David Johnsen is 1467420422. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is David Johnsen located?

David Johnsen practices at 3001A Sixth Street Naval Hospital Fisher Clinic, Great Lakes, IL 60088. The listed phone number is (847) 688-2469.

What is David Johnsen'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 David Johnsen was last updated on June 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.