Provider Demographics
NPI:1306847702
Name:SALTI, GEORGE I (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:I
Last Name:SALTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 S WOOD STREET
Mailing Address - Street 2:MC 958 - STE 619 CSB
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-355-1885
Mailing Address - Fax:312-355-3763
Practice Address - Street 1:120 SPALDING DR STE 205
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6527
Practice Address - Country:US
Practice Address - Phone:630-646-6020
Practice Address - Fax:630-527-3400
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036094742208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1632898OtherBLUE CROSS BLUE SHIELD
IL036094742Medicaid
IL1632898OtherBLUE CROSS BLUE SHIELD
IL036094742Medicaid