Individual
DR. GEORGE R VERGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7365
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7365
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036139666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036139666
STATE LICENSE
IL
Enumeration date
06/11/2007
Last updated
05/22/2020
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