Healthcare Provider Details

I. General information

NPI: 1275663486
Provider Name (Legal Business Name): GEORGE E OREBAUGH RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 WEAVER PKWY
WARRENVILLE IL
60555-4039
US

IV. Provider business mailing address

4575 WEAVER PKWY
WARRENVILLE IL
60555-4039
US

V. Phone/Fax

Practice location:
  • Phone: 630-505-0300
  • Fax: 630-836-0667
Mailing address:
  • Phone: 630-505-0300
  • Fax: 630-836-0667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: