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1427049295

NPI Code Detail

MEDICARE: MR. GEORGE PATRICK CANTINI PA

MEDICARE: MR. GEORGE PATRICK CANTINI PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	2149	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3981220	OTHER	AZ	EVERCARE GROUP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	453051001	OTHER	AZ	GROUP HEALTH GRP #
4	860373636	OTHER	AZ	HUMANA GROUP #
5	AW1436	OTHER	AZ	HEALTHNET GRP #

General Provider Information

NPI Number	:	1427049295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEORGE PATRICK CANTINI PA

Provider Business Mailing Address
First Line	:	2000 SPRING RD
Second Line	:	SUITE 200
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1804
Country	:	US
Telephone Number	:	630-472-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 W THUNDERBIRD RD
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4622
Country	:	US
Telephone Number	:	602-865-5501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	08/31/2009

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Directions to “ MR. GEORGE PATRICK CANTINI PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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