Individual
MR. JARROD SIEK GEORGACAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2650 RIDGE AVE, DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2760
Mailing address
2650 RIDGE AVE, DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021457
IL
Other
Enumeration date
10/16/2020
Last updated
12/17/2021
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