Cloud, George J

Cloud, George J is an individual health care provider with primary practice located at 6850 Centennial Dr , Tinley Park IL 60477-1653. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cloud, George J can be contacted via phone (708) 429-3455.

Contact Information

Primary practice address
6850 Centennial Dr Tinley Park IL 60477-1653
Phone: (708) 429-3455
Fax: (708) 429-3422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1679687164
LBN Legal business name Cloud, George J
Credentials OPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 24th, 2008 - about 17 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 1679687164 NPPES
Illinois Other 01620925 BCBS

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