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Individual

CHARLOTTE KELSEY GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 W 68TH ST # 3-SOUTH, CHICAGO, IL 60629-1813
(773) 434-4040
(773) 434-4135
Mailing address
2701 W 68TH ST # 3-SOUTH, CHICAGO, IL 60629-1813
(773) 434-4040
(773) 434-4135

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.178202
IL
207Q00000X
Family Medicine Physician
Primary
153925
FL

Other

Enumeration date
04/07/2020
Last updated
03/26/2026
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