Provider Demographics
NPI:1326307166
Name:GEORGE G. KURITZA, M.D., S.C.
Entity Type:Organization
Organization Name:GEORGE G. KURITZA, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:KURITZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-823-0430
Mailing Address - Street 1:110 N HOME AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3066
Mailing Address - Country:US
Mailing Address - Phone:847-823-0430
Mailing Address - Fax:847-823-0431
Practice Address - Street 1:110 N HOME AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3066
Practice Address - Country:US
Practice Address - Phone:847-823-0430
Practice Address - Fax:847-823-0431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty