George, Alphonsa T.

George, Alphonsa T. is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. George, Alphonsa T. can be contacted via phone (847) 723-1773.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-1773
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036088105 Illinois

Profile Details

NPI number 1932145570
LBN Legal business name George, Alphonsa T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 29th, 2021 - about 4 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 1932145570 NPPES
Illinois MEDICAID 036088105

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