NPI 1194148304

Steven Flannagan, IDC

Practitioner Independent Duty Corpsman Oswego, IL

Practice location

Address: 420 Heatherwood Dr, Oswego, IL 60543-7587
Phone: (630) 973-6535

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1194148304
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2014
Record last updated: 29 Jan 2020

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.