Provider Demographics
NPI:1760680714
Name:GEORGE, THOMAS G (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:G
Last Name:GEORGE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26025 WHISPERING WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-2615
Mailing Address - Country:US
Mailing Address - Phone:847-722-9313
Mailing Address - Fax:847-699-8151
Practice Address - Street 1:500 PARK BLVD STE 150
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-1257
Practice Address - Country:US
Practice Address - Phone:847-722-9313
Practice Address - Fax:815-782-6421
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.010954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor