Miz, George S

Miz, George S is an individual health care provider with primary practice located at 19550 Governors Hwy Ste 1400 , Flossmoor IL 60422-2136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miz, George S can be contacted via phone (708) 647-7565.

Contact Information

Primary practice address
19550 Governors Hwy Ste 1400 Flossmoor IL 60422-2136
Phone: (708) 647-7565
Fax: (708) 225-7671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036062367 Illinois

Profile Details

NPI number 1770570699
LBN Legal business name Miz, George S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 15th, 2019 - about 6 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 1770570699 NPPES
Illinois MEDICAID 036-062367
Illinois Other F400384564

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