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Individual

GEORGE N ATIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Mailing address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036096799
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632295
BCBS OF IL
IL
05
036096799
IL
01
100016570
PALMETO RAILROAD MEDICARE
IL
01
202028
PTAN
IL
01
214879
PTAN
IL
Enumeration date
07/01/2005
Last updated
12/18/2021
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