Individual
DR. IVAN GEORGESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8640 WAUKEGAN RD UNIT 531, MORTON GROVE, IL 60053-2226
(224) 703-7640
Mailing address
8640 WAUKEGAN RD UNIT 531, MORTON GROVE, IL 60053-2226
(224) 703-7640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110476
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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