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

Mr. Rodolfo Pineda Manansala, INDEPENDENTDUTYHM

Individual provider Independent Duty Corpsman · NPI 1184809048

Mr. Rodolfo Pineda Manansala, INDEPENDENTDUTYHM is an Independent Duty Corpsman in Great Lakes, Illinois. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

601 D St Bldg 130-H
Great Lakes, IL 60088-2822
Phone: (847) 688-3412
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 1710I1002X (CA)

Record details

NPI number1184809048
Entity typeIndividual (Type 1)
GenderMale
Credentials INDEPENDENTDUTYHM
Sole proprietorYes
NPI enumeratedJanuary 9, 2008
Last updated in NPPESAugust 27, 2009

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