Provider Demographics
NPI:1275663486
Name:OREBAUGH, GEORGE E (RN)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:E
Last Name:OREBAUGH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 WEAVER PKWY
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-4039
Mailing Address - Country:US
Mailing Address - Phone:630-505-0300
Mailing Address - Fax:630-836-0667
Practice Address - Street 1:4575 WEAVER PKWY
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-4039
Practice Address - Country:US
Practice Address - Phone:630-505-0300
Practice Address - Fax:630-836-0667
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WC0400X, 163WP0808X, 163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Not Answered163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0041-248613OtherREGISTERED NURSE