Individual
GEORGE SIANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 N WESTERN AVE, CHICAGO, IL 60625-1921
(773) 478-5600
(773) 478-5602
Mailing address
6374 N LINCOLN AVE, SUITE 301, CHICAGO, IL 60659-1275
(773) 478-5600
(773) 478-5602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-063761
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-063761
IL
208600000X
Surgery Physician
036-063761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635073
BCBS
IL
05
—
036063761
—
IL
01
—
P00390786
RAILROAD MEDICARE
IL
Enumeration date
07/11/2006
Last updated
07/15/2023
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