MR. JAMES R BUTTS IDC
NPI 1679786057
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since May 08, 2007
329 DEWY AVE, GREAT LAKES, IL 60088(847) 688-3464 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. James R Butts Idc NPPES

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

MR. JAMES R BUTTS IDC (NPI 1679786057) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679786057
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JAMES R BUTTSCredential: IDC
Location Address329 DEWY AVEGreat Lakes, IL 60088
Mailing Address2915 Patten RdHighland Park, IL 60035-6410 · (757) 535-7447
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateOctober 31, 2013
NPI 1679786057 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.

329 DEWY AVE, Great Lakes, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679786057, enumerated as an "individual" on May 08, 2007.

The provider is located at 329 DEWY AVE GREAT LAKES, IL 60088 and the phone number is (847) 688-3464.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.