Organization
GEORGE MIGUEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MIGUEL M.D. (PRESIDENT)
(815) 744-8253
Entity
Organization
Contact information
Practice address
200 N HAMMES AVE, JOLIET, IL 60435-6677
(815) 744-8253
(815) 744-8977
Mailing address
200 N HAMMES AVE, JOLIET, IL 60435-6677
(815) 744-8253
(815) 744-8977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036098565
IL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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