MR. JAMES ALBERT SHUMAKER SR. IDC
NPI 1699046482
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since January 25, 2012
2430 ILLINOIS STREET, 1007 USS TRANQUILLITY, GREAT LAKES, IL 60088(847) 688-6755 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About JAMES SHUMAKER

This page provides the complete NPI Profile along with additional information for James Shumaker, a provider established in Great Lakes, Illinois with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1699046482 assigned on January 2012. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1699046482 Verify this NPI
Provider Name
MR. JAMES ALBERT SHUMAKER SR. IDC
Gender
Male
Entity Type
Individual
Location Address
2430 ILLINOIS STREET 1007 USS TRANQUILLITY GREAT LAKES, IL 60088
Location Phone
(847) 688-6755
Mailing Address
2430 ILLINOIS STREET 1007 USS TRANQUILLITY GREAT LAKES, IL 60088
Mailing Phone
(847) 688-6755
Is Sole Proprietor?
No
Enumeration Date
01-25-2012
Last Update Date
01-25-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Military/U.S. Coast Guard Pharmacy
2430 ILLINOIS STREET
GREAT LAKES, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699046482, enumerated as an "individual" on January 25, 2012.

The provider is located at 2430 ILLINOIS STREET 1007 USS TRANQUILLITY GREAT LAKES, IL 60088 and the phone number is (847) 688-6755.

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