MR. MARC GERALD SMITH


Address: 3355 Illinois St, Bldg 1007, Great Lakes, IL 60088-3115
Phone: 8476884346

MR. MARC GERALD SMITH (NPI# 1497045579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497045579
Entity Type Individual
Full Name MR. MARC GERALD SMITH
Credential IDC
Practice Address 3355 Illinois St
Bldg 1007
Great Lakes
IL 60088-3115
Mailing Address 3355 Illinois St
Bldg 1405
Great Lakes
IL 60088-3115
Practice Telephone 8476884346
Practice Fax Number 8476883690
Mailing Telephone 8476884346
Mailing Fax Number 8476883690
Enumeration Date 2011-04-11
Last Update Date 2011-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MARC SMITH

NPI Name Taxonomy Address Enumeration
1497158380 Marc Smith Social Worker 39640 Hillary Dr, Canton, MI 48187-4208 2014-10-06
1871122960 Marc E. Smith Case Manager/Care Coordinator 10296 Springfield Pike Ste 500, Cincinnati, OH 45215-1194 2020-04-02
1588208276 Marc Smith Case Manager/Care Coordinator 3316 Laverne Ave, Bakersfield, CA 93309-4122 2019-11-05
1144788993 Marc Smith Speech-Language Pathologist 400 Dawson Rd., Forrest City, AR 72335 2019-03-11
1942706841 Marc Charles Smith Student in an Organized Health Care Education/Training Program 1200 N. State Street, Ct-a7d, Los Angeles, CA 90033 2018-04-01
1154847713 Marc C Smith Nurse Anesthetist, Certified Registered 2001 W 68th St, Hialeah, FL 33016-1801 2017-08-16
1992981138 Marc Newell Smith Social Worker 4455 Ne Highway 20, Corvallis, OR 97330-9695 2008-01-17
1396969580 Marc I Smith Physical Therapist 315 S Manning Blvd, Albany, NY 12208-1707 2007-04-12
1730256785 Marc Richard Smith Nurse Anesthetist, Certified Registered 400 E 3rd St, Duluth, MN 55805-1951 2006-11-28
1427133446 Marc Lloyd Smith General Practice 11803 W North Ave, Wauwatosa, WI 53226 2006-10-26

Office Location

Street Address 3355 ILLINOIS ST
BLDG 1007
City GREAT LAKES
State IL
Zip Code 60088-3115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858228 Kathryn Ann Bird Dentist 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 2019-12-18
1740775576 Jonathan William Criter Dentist 3400 Ohio St, Great Lakes, IL 60088 2018-06-25
1134598733 True Xiong Dentist Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 2015-09-24
1447685771 Lisa Carol Perrone Dentist Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 2013-09-05
1437438421 David Lawrence Green Dentist 2410 Samson St., Bldg 237, Great Lakes, IL 60088 2011-08-09
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1083943906 James Doll Dentist 2608 Paul Jones St, Great Lakes, IL 60088 2009-12-24
1396996823 Kelly Robert Lanning Dentist 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 2008-10-02
1841453750 Peter Jerome Hammes Dentist 3001a Sixth Street Bldg 200h 4e, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 2008-07-10
Find all providers in zip 60088

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215333299 Jonathan Ramonbeebe Military Health Care Provider 3694 Minnesota Ave Apt D, Great Lakes, IL 60088-1714 2014-11-18
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1497917876 Scott David Arnold Military Health Care Provider 320 Dewey Ave Ste A, Naval Special Warfare Preparatory School Bldg 322, Great Lakes, IL 60088-2911 2008-06-27
1184883688 Michael Paul Coffman Military Health Care Provider 601 D Street, Great Lakes, IL 60088-2822 2008-06-09
1184809048 Rodolfo Pineda Manansala Military Health Care Provider 601 D St Bldg 130-h, Great Lakes, IL 60088-2822 2008-01-09
1346454808 Joseph Thomas Minich Military Health Care Provider 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2007-05-10
1679786057 James R Butts Military Health Care Provider 329 Dewy Ave, Great Lakes, IL 60088 2007-05-08
1205891256 Jose Alfredo Nicola Military Health Care Provider Naval Health Clininc Great Lakes, Branch Medical Clinic 1007 Uss Tranquility, Great Lakes, IL 60088 2006-04-20
1205804242 Rodger M Howard Military Health Care Provider 3420 Illinois Street Bldg 1007, Great Lakes, IL 60088 2006-03-08
1144588039 Luis Victor Fernandez Military Health Care Provider 2410 Sampson St, Great Lakes, IL 60088-2942 2012-04-27
Find all providers in GREAT LAKES

Competitor

Search similar providers

City GREAT LAKES
Zip Code 60088

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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