Atia, George N

Atia, George N is an sole proprietor health care provider with primary practice located at 200 Fox Glen Ct , Barrington IL 60010-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Atia, George N can be contacted via phone (847) 382-7165.

Contact Information

Primary practice address
200 Fox Glen Ct Barrington IL 60010-1809
Fax: (847) 713-8160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036096799 Illinois

Profile Details

NPI number 1770580029
LBN Legal business name Atia, George N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Dec 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770580029 NPPES
Illinois Other 202028 PTAN
Illinois Other 214879 PTAN
Illinois Other 01632295 PTAN
Illinois MEDICAID 036096799 PTAN
Illinois Other 100016570 PTAN

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