Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Paul Coffman, IDC

Individual provider Independent Duty Corpsman · NPI 1184883688

Mr. Michael Paul Coffman, IDC is an Independent Duty Corpsman in Great Lakes, Illinois. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

601 D St
Great Lakes, IL 60088-2822
Phone: (847) 688-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1184883688
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESJune 9, 2008

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