MR. MARC GERALD SMITH IDC
NPI 1497045579
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Q: What is Marc Smith's NPI number?

The NPI number for Marc Smith is 1497045579. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Marc Smith'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 Marc Smith was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 11, 2011

3355 ILLINOIS ST, BLDG 1007, GREAT LAKES, IL 60088(847) 688-4346(847) 688-3690 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Marc Gerald Smith Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARC GERALD SMITH IDC (NPI 1497045579) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1497045579

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MARC GERALD SMITHCredential: IDC

Location Address3355 ILLINOIS ST, BLDG 1007Great Lakes, IL 60088-3115

Mailing Address3355 Illinois St, Bldg 1405Great Lakes, IL 60088-3115 · (847) 688-4346 · Fax (847) 688-3690

Phone(847) 688-4346

Fax(847) 688-3690

Sole ProprietorNo

Enumeration DateApril 11, 2011

✔ NPI 1497045579 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.

CLINTON LARISCY IDC

Military Health Care Provider (Independent Duty Corpsman)

3355 ILLINOIS ST, RECRUIT TRAINING COMMAND GREAT LAKES
GREAT LAKES, IL 60088

Lake County (847) 688-4643

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 Marc Smith's NPI number?

The NPI number for Marc Smith is 1497045579. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Marc Smith located?

Marc Smith practices at 3355 Illinois St Bldg 1007, Great Lakes, IL 60088. The listed phone number is (847) 688-4346.

What is Marc Smith'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 Marc Smith was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.