Individual
JONELLE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116026333
VA
207RG0100X
Gastroenterology Physician
Primary
036169945
IL
207RG0100X
Gastroenterology Physician
25MB09957200
NJ
207RG0100X
Gastroenterology Physician
87856
SC
207RG0100X
Gastroenterology Physician
U1673
TX
Other
Enumeration date
06/25/2013
Last updated
04/09/2026
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