Brett Staib, NAVY IDC

NPI 1972793909 · on the registry since 2007

Practice

Address: 3420 Illinois St
Bhc 1007
Great Lakes, IL 60088
Phone: (847) 688-7536
Organisation at this address: James A Lovell Fhcc
James A Lovell Fhcc
Uss Tranq - Turn Two Phcy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 1710I1002X
1710I1002X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois