Organization
WILLIAM N. GEORGIS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GEORGIS M.D. (PRESIDENT)
(815) 398-7600
Entity
Organization
Contact information
Practice address
6030 GARRETT LN, ROCKFORD, IL 61107-6637
(815) 398-7600
Mailing address
6030 GARRETT LN, ROCKFORD, IL 61107-6637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036053928
IL
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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