MEDICARE: DR. GEORGE IURIE MACRINICI M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	036.127757	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036127757	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1659534030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE IURIE MACRINICI M.D.

Provider Business Mailing Address
First Line	:	121 S WILKE RD STE 110
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1524
Country	:	US
Telephone Number	:	847-797-4888
Fax Number	:	847-739-0978

Provider Business Practice Location Address
First Line	:	121 S WILKE RD STE 110
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1524
Country	:	US
Telephone Number	:	847-797-4888
Fax Number	:	847-739-0978

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	04/14/2023

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