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General NPI Number Information
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NPI Number | 1427067990
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Entity Type | Individual
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Provider Name | SEAN T GEORGE MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3000 N HALSTED ST STE 405
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City | CHICAGO
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State | IL
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Zip | 60657-8480
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Country | US
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Telephone | 773-296-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036082189
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 036.088595
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License Number State | IL
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