Individual
CHRISTOPHER MICHAEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0610
(630) 232-0675
Mailing address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0610
(630) 232-0675
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-100461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100461
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147090
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01036241
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/28/2006
Last updated
02/23/2014
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