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Individual

GEORGE EARL GEORGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 E SUPERIOR ST STE 5-105, CHICAGO, IL 60611-3015
(312) 503-1761
(312) 908-5717
Mailing address
303 E SUPERIOR ST STE 5-105, CHICAGO, IL 60611-3015
(312) 503-1761
(312) 908-5717

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036164047
IL
207RH0003X
Hematology & Oncology Physician
MD00031922
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231049
L&I
WA
05
1821188772
WA
01
3453
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/13/2006
Last updated
10/31/2023
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