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BRETT STAIB NAVY IDC
NPI 1972793909
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since July 26, 2007
3420 ILLINOIS ST, BHC 1007, GREAT LAKES, IL 60088(847) 688-7536 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brett Staib Navy Idc NPPES

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

BRETT STAIB NAVY IDC (NPI 1972793909) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1972793909
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRETT STAIBCredential: NAVY IDC
Location Address3420 ILLINOIS ST, BHC 1007Great Lakes, IL 60088-3120
Mailing Address3420 Illinois StreetGreat Lakes, IL 60088-5230 · (847) 688-7536
Phone(847) 688-7536
Sole ProprietorNo
Enumeration DateJuly 26, 2007
✔ NPI 1972793909 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.
3420 ILLINOIS ST, Great Lakes, IL 60088
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Other Identifiers 1

Other1710I1002XIL · Taxonomy

Other Providers at the Same Location NPPES 18

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

EMILY J BAKER DPT
Physical Therapist
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-6755
MR. WARREN K KENNEDY PA-C
Physician Assistant (Medical)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-2522
TOMASZ BOLTRUCZYK FNP-C
Nurse Practitioner (Family)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-5568
MR. WILLIAM HARRELD PETERSON PA-C
Physician Assistant
3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES, IL 60088
Lake County (847) 688-6755
DR. JASON YUNGSUP KIM MD
Family Medicine
3420 ILLINOIS ST, USS TRANQUILLITY CLINIC 1007
GREAT LAKES, IL 60088
Lake County (847) 688-6755
JAMES A LOVELL FHCC
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, USS TRANQUILITYAH14 MED CLN 1017
GREAT LAKES, IL 60088
Lake County (847) 688-2100
DR. NEMESIA FIGUERAS ARTATES M.D.
General Practice
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-6755
DR. JOHN E. DALTON PH.D.
Psychologist (Clinical)
3420 ILLINOIS ST, REU, BUILDING 1007
GREAT LAKES, IL 60088
Lake County (847) 688-7406

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 Brett Staib's NPI number?

The NPI number for Brett Staib is 1972793909. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Brett Staib located?

Brett Staib practices at 3420 Illinois St Bhc 1007, Great Lakes, IL 60088. The listed phone number is (847) 688-7536.

What is Brett Staib'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 Brett Staib was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.