CLINTON LARISCY IDC
NPI 1164736302
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Q: What is Clinton Lariscy's NPI number?

The NPI number for Clinton Lariscy is 1164736302. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Q: What is Clinton Lariscy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Lariscy was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2010

3355 ILLINOIS ST, RECRUIT TRAINING COMMAND GREAT LAKES, GREAT LAKES, IL 60088(847) 688-4643 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1164736302

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameCLINTON LARISCYCredential: IDC

Location Address3355 ILLINOIS ST, RECRUIT TRAINING COMMAND GREAT LAKESGreat Lakes, IL 60088

Mailing Address3355 Illinois St, Recruit Training Command Great LakesGreat Lakes, IL 60088

Phone(847) 688-4643

Sole ProprietorYes

Enumeration DateJuly 29, 2010

✔ NPI 1164736302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

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.

3355 ILLINOIS ST, Great Lakes, IL 60088

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARC GERALD SMITH IDC

Military Health Care Provider (Independent Duty Corpsman)

3355 ILLINOIS ST, BLDG 1007
GREAT LAKES, IL 60088

Lake County (847) 688-4346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Lariscy's NPI number?

The NPI number for Clinton Lariscy is 1164736302. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Clinton Lariscy located?

Clinton Lariscy practices at 3355 Illinois St Recruit Training Command Great Lakes, Great Lakes, IL 60088. The listed phone number is (847) 688-4643.

What is Clinton Lariscy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Clinton Lariscy was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.