Verghese, George
Verghese, George is an sole proprietor health care provider with primary practice located at 555 W Court St Suite 403, Kankakee IL 60901-3664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Verghese, George can be contacted via phone (815) 802-8031.Contact Information
Primary practice address
555 W Court St Suite 403
Kankakee IL 60901-3664
Phone: (815) 802-8031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036101532 | Illinois |
Profile Details
| NPI number | 1649247784 |
|---|---|
| LBN Legal business name | Verghese, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Oct 1st, 2012 - about 14 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 | 1649247784 | NPPES |
| Illinois | MEDICAID | 036101532 |
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