Individual
DR. GEORGE S MIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 GOVERNORS HWY STE 1400, FLOSSMOOR, IL 60422-2136
(708) 647-7565
(708) 225-7671
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036062367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-062367
—
IL
01
—
F400384564
MEDICARE
IL
Enumeration date
10/05/2005
Last updated
02/15/2019
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