Provider Demographics
NPI:1689648727
Name:GEORGE, MARY K (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:K
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 W HIGGINS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7237
Mailing Address - Country:US
Mailing Address - Phone:847-884-3920
Mailing Address - Fax:
Practice Address - Street 1:3150 W HIGGINS RD
Practice Address - Street 2:SUITE 120
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7237
Practice Address - Country:US
Practice Address - Phone:847-884-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036089357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine