Individual
GEORGE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
17901 GOVERNORS HWY STE 206, HOMEWOOD, IL 60430-1146
(708) 960-4280
Mailing address
17901 GOVERNORS HWY STE 206, HOMEWOOD, IL 60430-1146
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
209.020075
IL
363LF0000X
Family Nurse Practitioner
Primary
209020075
IL
Other
Enumeration date
09/23/2019
Last updated
10/31/2019
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