Georgis, William N

Georgis, William N is an individual health care provider with primary practice located at 6030 Garrett Ln , Rockford IL 61107-6637. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Georgis, William N can be contacted via phone (815) 398-7600.

Contact Information

Primary practice address
6030 Garrett Ln Rockford IL 61107-6637
Fax: (815) 398-7665
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036053928 Illinois

Profile Details

NPI number 1508865692
LBN Legal business name Georgis, William N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 15th, 2011 - about 13 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 1508865692 NPPES
Illinois MEDICAID 036053928
Illinois Other 10100577

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