Provider Demographics
NPI:1982913661
Name:GEORGE, MEENA S (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MEENA
Middle Name:S
Last Name:GEORGE
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:6320 W 159TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452
Mailing Address - Country:US
Mailing Address - Phone:708-687-2222
Mailing Address - Fax:708-687-3829
Practice Address - Street 1:6320 159TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2776
Practice Address - Country:US
Practice Address - Phone:708-687-2222
Practice Address - Fax:708-687-3829
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2021-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036141259207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist