NPI 1013315068
Rene Garcia Cantu, IDC
Practice location
- Address
- Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road, North Chicago, IL 60064
- Phone
- (224) 610-7501
- Mailing address
- 10816 E Riviera Dr, Spring Grove, IL 60081-7813
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1013315068
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Dec 2014
- Record last updated
- 30 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.