Active NPI
Rene Garcia Cantu Jr., IDC
- Independent Duty Corpsman
- North Chicago, IL
National Provider Identifier
1013315068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- Captain James a. Lovell Federal Health Care Center
3001 Green Bay Road
North Chicago, IL 60064 - Phone
- (224) 610-7501
- NPI assigned
- Dec 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
Captain James a. Lovell Federal Health Care Center
3001 Green Bay Road
North Chicago, IL 60064
Mailing address
10816 E Riviera Dr
Spring Grove, IL 60081-7813
Other practice location 1
2216 Monument Ln
twentynine palms, CA 92277
Phone (760) 830-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1013315068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 E RIVIERA DR",
"city": "SPRING GROVE",
"state": "IL",
"postal_code": "600817813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER",
"address_2": "3001 GREEN BAY ROAD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "224-610-7501"
}
],
"practiceLocations": [
{
"address_1": "2216 Monument Ln",
"address_purpose": "LOCATION",
"city": "twentynine palms",
"state": "CA",
"postal_code": "92277",
"country_code": "US",
"telephone_number": "760-830-5141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTU",
"first_name": "RENE",
"middle_name": "GARCIA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.