Georgis, William N
Georgis, William N is an individual health care provider with primary practice located at 6030 Garrett Ln , Rockford IL 61107-6637. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Georgis, William N can be contacted via phone (815) 398-7600.Contact Information
Primary practice address
6030 Garrett Ln
Rockford IL 61107-6637
Phone: (815) 398-7600
Fax: (815) 398-7665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036053928 | Illinois |
Profile Details
| NPI number | 1508865692 |
|---|---|
| LBN Legal business name | Georgis, William N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Aug 15th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508865692 | NPPES |
| Illinois | MEDICAID | 036053928 | |
| Illinois | Other | 10100577 |
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