Individual
GEORGE W SHEHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3310 S OCEAN BLVD APT 427D, HIGHLAND BEACH, FL 33487-4798
(708) 691-9823
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(708) 532-6029
(708) 532-6095
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036071862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071862
—
IL
Enumeration date
07/05/2005
Last updated
07/15/2022
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