Mr. Marc Gerald Smith, IDC
Mr. Marc Gerald Smith, IDC is an Independent Duty Corpsman in Great Lakes, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3355 Illinois St Bldg 1007Great Lakes, IL 60088-3115
Phone: (847) 688-4346
Fax: (847) 688-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1497045579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | April 11, 2011 |
| Last updated in NPPES | April 11, 2011 |
| Mailing address | 3355 Illinois St, Bldg 1405, Great Lakes, IL 60088-3115 |
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