Individual
MR. JERRY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
8933 W GOLF RD, NILES, IL 60714-5812
(847) 376-8066
(847) 376-8050
Mailing address
8113 BASSWOOD LN, WOODRIDGE, IL 60517-4645
(630) 242-0173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009358
IL
Other
Enumeration date
04/03/2015
Last updated
03/10/2025
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