Provider Demographics
NPI:1558589515
Name:GEORGE, MAUREEN M (PT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:M
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3838 N HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-3918
Mailing Address - Country:US
Mailing Address - Phone:773-835-1884
Mailing Address - Fax:773-672-7618
Practice Address - Street 1:2000 N RACINE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7006
Practice Address - Country:US
Practice Address - Phone:773-835-1884
Practice Address - Fax:773-672-7618
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0700054152251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic