Organization
GEORGE B VERGHESE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE B VERGHESE MD (PRESIDENT)
(815) 802-8031
Entity
Organization
Contact information
Practice address
555 W COURT ST, KANKAKEE, IL 60901-3664
(815) 802-8031
(815) 802-8044
Mailing address
PO BOX 787, KANKAKEE, IL 60901-0787
(815) 802-8031
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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