Individual
MISS THERESA PERICLES GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 N HUDSON AVE APT 1F, CHICAGO, IL 60614-5250
(314) 277-9140
Mailing address
1949 N HUDSON AVE APT 1F, CHICAGO, IL 60614-5250
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.033880
IL
Other
Enumeration date
04/29/2025
Last updated
11/10/2025
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