George, Jeffrey A
George, Jeffrey A is an sole proprietor health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. George, Jeffrey A can be contacted via phone (184) 772-3531.Contact Information
Primary practice address
1775 Dempster St
Park Ridge IL 60068-1143
Phone: (184) 772-3531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 036076574 | Illinois |
Profile Details
| NPI number | 1043221302 |
|---|---|
| LBN Legal business name | George, Jeffrey A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043221302 | NPPES |
| Illinois | MEDICAID | 036076574 |
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