Individual
MR. JAMES ALBERT SHUMAKER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2430 ILLINOIS STREET, 1007 USS TRANQUILLITY, GREAT LAKES, IL 60088-4209
(847) 688-6755
Mailing address
2430 ILLINOIS STREET, 1007 USS TRANQUILLITY, GREAT LAKES, IL 60088
(847) 688-6755
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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