CLINTON LARISCY IDC
NPI 1164736302
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL
About Clinton Lariscy Idc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINTON LARISCY IDC (NPI 1164736302) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since July 2010.
NPPES Registry Identity
Specialties & Licenses
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREAT LAKES, IL 60088
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164736302, enumerated as an "individual" on July 29, 2010.
The provider is located at 3355 ILLINOIS ST RECRUIT TRAINING COMMAND GREAT LAKES GREAT LAKES, IL 60088 and the phone number is (847) 688-4643.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
