Rhonda Wiley, IDC
Military Health Care Provider, Independent Duty Corpsman in Great Lakes, IL. Individual provider (NPI-1).
NPI number1447564232
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1447564232
- Entity type
- Individual (NPI-1)
- Name
- Rhonda Wiley
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2010
- Last updated
- Aug 4, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
2410 Sampson StGreat Lakes, IL 60088-2942
Phone 847-688-2092
Mailing address
1710 Kayla LnApt 2b
Waukegan, IL 60087-5056
Phone 757-286-0777
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Independent Duty Corpsman providers in Great Lakes, IL
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- Chris Ebert, IDCNPI 1467781666
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- John Allan Clayton Fulling, IDCNPI 1083873905
- David Aaron Galvan, IDCNPI 1033319827
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All 27 Independent Duty Corpsman providers in Great Lakes · All 293 providers in Great Lakes
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