Individual
MRS. SWETA V GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 FAIRFIELD WAY, SUITE 207, BLOOMINGDALE, IL 60108-1588
(630) 529-7427
Mailing address
121 FAIRFIELD WAY, SUITE 207, BLOOMINGDALE, IL 60108-1588
(630) 529-7427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003361
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003361
IL STATE LICENSE
IL
Enumeration date
11/07/2008
Last updated
07/13/2015
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