Individual
GEORGES ASSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 WEST TAYLOR STREET, CHICAGO, IL 60612
(866) 600-2273
Mailing address
840 SOUH WOOD STREET (M/C 717) SUITE 409 CSN, UNIVERSITY OF ILLINOIS AT CHICAGO, CHICAGO, IL 60612
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125067521
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/14/2015
Last updated
11/13/2015
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