MR. Marc Gerald Smith, IDC

NPI #1497045579 in Great Lakes, Illinois

Provider Information

NPI Number
1497045579
Entity Type
Individual
Name
MR. Marc Gerald Smith, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Apr 11, 2011
Last Updated
Apr 11, 2011

Practice Location

Address
3355 ILLINOIS ST
Address 2
BLDG 1007
ZIP Code
60088-3115
Phone
(847) 688-4346

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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