Smith, Marc Gerald

Smith, Marc Gerald is an individual health care provider with primary practice located at 3355 Illinois St Bldg 1007, Great Lakes IL 60088-3115. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Smith, Marc Gerald can be contacted via phone (847) 688-4346.

Contact Information

Primary practice address
3355 Illinois St Bldg 1007 Great Lakes IL 60088-3115
Phone: (847) 688-4346
Fax: (847) 688-3690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1497045579
LBN Legal business name Smith, Marc Gerald
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Apr 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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