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NPI Code Detail

MEDICARE: PRINCY ANN GEORGE MD

MEDICARE: PRINCY ANN GEORGE MD
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
1207Q00000XFamily Medicine Physician036162093IL

General Provider Information

NPI Number : 1467800466
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRINCY ANN GEORGE MD
Provider Business Mailing Address
First Line : 23120 N LAGRANGE RD
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-7760
Country : US
Telephone Number : 815-464-5440
Fax Number :
Provider Business Practice Location Address
First Line : 23120 N LAGRANGE RD
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-7760
Country : US
Telephone Number : 815-464-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 05/28/2026

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Directions to “ PRINCY ANN GEORGE MD” Practice Location

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