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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CLIFFORD LOREN MOUDY II I.D.C.
NPI 1679541676
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since March 08, 2006
3001A SIXTH ST, NAVAL HOSPITAL GREAT LAKES, GREAT LAKES, IL 60088(847) 688-2616 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Clifford Loren Moudy Ii I.d.c. NPPES

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

MR. CLIFFORD LOREN MOUDY II I.D.C. (NPI 1679541676) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1679541676
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. CLIFFORD LOREN MOUDY IICredential: I.D.C.
Location Address3001A SIXTH ST, NAVAL HOSPITAL GREAT LAKESGreat Lakes, IL 60088-5230
Mailing Address26800 104th StTrevor, WI 53179-9619 · (847) 688-2616
Phone(847) 688-2616
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1679541676 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 ST, Great Lakes, IL 60088
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Other Providers at the Same Location NPPES 5

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

DR. JAMES WILLIAM CONWAY DDS, MSD
Dentist (Periodontics)
3001A SIXTH ST
GREAT LAKES, IL 60088
Lake County (847) 688-3331
DR. JOHN SCHROER DDS
Dentist (General Practice)
3001A SIXTH ST, NAVAL HOSPITAL GREAT LAKES
GREAT LAKES, IL 60088
Lake County (847) 688-2100
DR. CHARLES WILLIAM PADDOCK III D.D.S.
Dentist (General Practice)
3001A SIXTH ST
GREAT LAKES, IL 60088
Lake County (847) 688-3331
DR. SCOTT HOCKER DDS
Dentist
3001A SIXTH ST, BLDG. 1017 USS OSBORNE
GREAT LAKES, IL 60088
Lake County (847) 688-2100
DR. JENNIFER BRATTLAND OTA MD
Internal Medicine
3001A SIXTH ST, INTERNAL MEDICINE CLINIC
GREAT LAKES, IL 60088
Lake County (847) 688-4560

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 Clifford Moudy's NPI number?

The NPI number for Clifford Moudy is 1679541676. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Clifford Moudy located?

Clifford Moudy practices at 3001A Sixth St Naval Hospital Great Lakes, Great Lakes, IL 60088. The listed phone number is (847) 688-2616.

What is Clifford Moudy'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 Clifford Moudy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.