Individual
DR. NATHANIEL VERNON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1706 E 87TH ST, CHICAGO, IL 60617-2740
(419) 320-0229
Mailing address
1706 E 87TH ST, CHICAGO, IL 60617-2740
(773) 374-5300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005859
IL
Other
Enumeration date
04/04/2016
Last updated
09/15/2023
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