Individual
DR. GEORGE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-078064
IL
207W00000X
Ophthalmology Physician
2000160757
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034235
HEALTH ALLIANCE
—
05
—
036078064
—
IL
01
—
101069
HEALTHLINK
—
01
—
133925
ANTHEM BLUE CROSS BLUE SHIELD
MO
01
—
180006269
MEDICARE RAILROAD
IL
05
—
203419007
—
MO
01
—
237696
HARMONY HEALTH PLAN
—
Enumeration date
09/30/2005
Last updated
02/03/2012
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