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NPI Code Detail

MEDICARE: MRS. RAINA A GEORGE FNP

MEDICARE:  MRS. RAINA A GEORGE  FNP
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
1363L00000XNurse Practitioner209015672IL

General Provider Information

NPI Number : 1497266126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RAINA A GEORGE FNP
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Provider Business Practice Location Address
First Line : 121 S WILKE RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1533
Country : US
Telephone Number : 847-259-8379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2017
Last Update Date : 12/16/2025

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Directions to “ MRS. RAINA A GEORGE FNP” Practice Location

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