Individual
GEORGE GHASSAN ISSA KIDESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE STE MC7082, CHICAGO, IL 60637-1465
(773) 702-6840
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.085173
IL
Other
Enumeration date
03/31/2025
Last updated
04/09/2025
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