Individual
GEORGE E MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036098565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036098565
LICENSE #
IL
05
—
036098565
—
IL
01
—
09932095
BCBS PROVIDER #
IL
01
—
260050828
RR MEDICARE PROVIDER #
IL
Enumeration date
03/08/2006
Last updated
11/11/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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