Individual
ALPHONSA T. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-1773
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(708) 723-2210
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036088105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088105
—
IL
Enumeration date
06/21/2006
Last updated
12/29/2021
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