Provider Demographics
NPI:1891958112
Name:PATTON, GEORGE SPENCER II (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:SPENCER
Last Name:PATTON
Suffix:II
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 1:108 WILMOT RD
Mailing Address - Street 2:MS 1820
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5145
Mailing Address - Country:US
Mailing Address - Phone:847-580-0002
Mailing Address - Fax:847-374-0207
Practice Address - Street 1:108 WILMOT RD
Practice Address - Street 2:MS 1820
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5145
Practice Address - Country:US
Practice Address - Phone:847-580-0002
Practice Address - Fax:847-374-0207
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.124830207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine