Provider Demographics
NPI:1740478163
Name:CALEEL, GEORGE SARKIS (DO)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SARKIS
Last Name:CALEEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 216S
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-882-0070
Mailing Address - Fax:630-338-1201
Practice Address - Street 1:133 E BRUSH HILL RD
Practice Address - Street 2:SUITE 205
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5659
Practice Address - Country:US
Practice Address - Phone:630-882-0070
Practice Address - Fax:630-338-1201
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02003702A207P00000X
IL036118890207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1740478163Medicaid
MI5752054OtherBCBS OF MI
ILIL3756001Medicare PIN
ILIL3756Medicare PIN
MI1740478163Medicaid