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Individual

DIANA GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
Mailing address
905 N DEXTER LN, HOFFMAN EST, IL 60169-2364
(630) 540-6263

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041428393
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209033141
IL

Other

Enumeration date
07/14/2025
Last updated
11/18/2025
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