Individual
GUEORGUI S GUEORGUIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105269
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127259
HEALTH ALLIANCE
—
Enumeration date
09/20/2005
Last updated
03/25/2013
About Stedi
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