Ivan Georgese

Dentist · Morton Grove, IL

Individual Active NPI

NPI number 1295567212

Practice location

8640 Waukegan Rd Unit 531
Morton Grove, IL 60053-2226
Phone
(224) 703-7640

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NPI record

NPI
1295567212
Entity type
Individual (Type 1)
Enumeration date
August 19, 2024
Last updated
August 19, 2024
Certified
August 18, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 110476 CA

About Ivan Georgese

Ivan Georgese is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8640 Waukegan Rd Unit 531, Morton Grove, IL 60053-2226. The NPI number 1295567212 was assigned on August 19, 2024 and the record was last updated on August 19, 2024.

Ivan Georgese lists a license in the registry: #110476 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan Georgese?

The NPI number is 1295567212.

What is the phone number of Ivan Georgese?

The phone number listed for the practice location is (224) 703-7640.

Where is Ivan Georgese located?

8640 Waukegan Rd Unit 531, Morton Grove, IL 60053-2226.

What is the taxonomy code for Ivan Georgese?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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