Individual
DR. GEORGE B. GANCAYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
781 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7444
(815) 459-2200
(815) 444-9566
Mailing address
781 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7444
(815) 459-2200
(815) 444-9566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096042
IL
208000000X
Pediatrics Physician
036096042
IL
Other
Enumeration date
08/15/2006
Last updated
12/21/2021
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