Search › Illinois › 1710I1002X
Clinton Lariscy, IDC
NPI 1164736302 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3355 Illinois St
Recruit Training Command Great Lakes
Great Lakes, IL 60088 - Phone
- (847) 688-4643
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2010-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois