Individual
GUEORGUI D GUEORGUIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Mailing address
303 N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036124145
IL
282NC0060X
Critical Access Hospital
Primary
—
IL
Other
Enumeration date
07/10/2006
Last updated
02/26/2016
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