Individual
MR. MARC GERALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3355 ILLINOIS ST, BLDG 1007, GREAT LAKES, IL 60088-3115
(847) 688-4346
(847) 688-3690
Mailing address
3355 ILLINOIS ST, BLDG 1405, GREAT LAKES, IL 60088-3115
(847) 688-4346
(847) 688-3690
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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