What is Clinton Lariscy's NPI number?

Clinton Lariscy's National Provider Identifier (NPI) is 1164736302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Clinton Lariscy's specialty?

Clinton Lariscy is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Clinton Lariscy located?

Clinton Lariscy's practice location on file with NPPES is 3355 Illinois St, Great Lakes, IL 60088.

What is Clinton Lariscy's phone number?

The practice phone number listed in the NPPES registry for Clinton Lariscy is (847) 688-4643.

Is Clinton Lariscy's NPI active?

Yes — Clinton Lariscy's NPI (1164736302) is active in the NPPES registry as of the last update on 2010-07-29.

IndividualActive

Clinton Lariscy, IDC

NPI 1164736302 · Independent Duty Corpsman · Great Lakes, IL

Clinton Lariscy, IDC is a Independent Duty Corpsman provider in Great Lakes, IL (NPI 1164736302).

Provider details

NPI number: 1164736302
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3355 Illinois St

Recruit Training Command Great Lakes

Great Lakes, IL 60088

Phone: (847) 688-4643

Street-level locationGet directions

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Mailing address