Individual
CYNTHIA A GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 S WIESBROOK RD, WHEATON, IL 60189
(630) 614-4000
(630) 614-4048
Mailing address
2001 S WIESBROOK RD, WHEATON, IL 60189-7813
(630) 614-4000
(630) 614-4048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
085000582
IL
363A00000X
Physician Assistant
Primary
085000582
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211104
MEDICARE PTAN (GROUP)
IL
01
—
592050
MEDICARE PTAN (GROUP)
IL
01
—
592050002
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
K15256
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
01/16/2007
Last updated
02/04/2026
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