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NPI Code Detail

MEDICARE: GEORGE CHIAMPAS D.O.

MEDICARE: GEORGE CHIAMPAS D.O.
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
1207PS0010XSports Medicine (Emergency Medicine) Physician036105400IL
2207P00000XEmergency Medicine Physician036105400IL

General Provider Information

NPI Number : 1538169636
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE CHIAMPAS D.O.
Provider Business Mailing Address
First Line : 2936 INDIANWOOD RD
Second Line :
City : WILMETTE
State : IL
Zip : 60091
Country : US
Telephone Number : 312-375-6262
Fax Number :
Provider Business Practice Location Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-926-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 03/17/2018

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Directions to “ GEORGE CHIAMPAS D.O.” Practice Location

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