Brett Staib, NAVY IDC
NPI #1972793909 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1972793909
- Entity Type
- Individual
- Name
- Brett Staib, NAVY IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- NAVY IDC
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 3420 ILLINOIS ST
- Address 2
- BHC 1007
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-3120
- Phone
- (847) 688-7536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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