Individual
MR. RICHARD JOSEPH GEORGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 559-6917
Mailing address
3905 W ERNESTINE DR, MARION, IL 62959-5800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
208VP0000X
Pain Medicine Physician
—
IL
208VP0014X
Interventional Pain Medicine Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360812962
—
IL
Enumeration date
07/24/2006
Last updated
09/11/2025
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