Enriquez, George L

Enriquez, George L is an individual health care provider with primary practice located at 2101 Waukegan Rd Ste 203 , Bannockburn IL 60015-1836. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Enriquez, George L can be contacted via phone (847) 390-7666.

Contact Information

Primary practice address
2101 Waukegan Rd Ste 203 Bannockburn IL 60015-1836
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016003880 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003880 Illinois

Profile Details

NPI number 1073680203
LBN Legal business name Enriquez, George L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073680203 NPPES
Illinois MEDICAID 016003880

Popular Providers