PRINCY PATHALIL GEORGE


Address: 5730 S. Drexel Avenue, Mc 8029, Chicago, IL 60637
Phone: 7738349102

PRINCY PATHALIL GEORGE (NPI# 1255725164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255725164
Entity Type Individual
Full Name PRINCY PATHALIL GEORGE
Credential MD
Practice Address 5730 S. Drexel Avenue
Mc 8029
Chicago
IL 60637
Practice Telephone 7738349102
Mailing Telephone 7738349102
Enumeration Date 2015-03-28
Last Update Date 2018-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
036.146561 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5323 Harry Hines Blvd, Dallas, TX 753907201 2144567000

Office Location

Street Address 5730 S. DREXEL AVENUE
MC 8029
City CHICAGO
State IL
Zip Code 60637

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386263234 Pooja Ramnani Pharmacist 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1205391620 Derek Joseph Fiedler Anesthesiology University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 2019-02-11
1821573072 Ugochinyere Ohaja Registered Nurse 5656 South Maryland Avenue, Chicago, IL 60637 2018-10-03
1053899138 Won Hee Oh Physician Assistant 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1194235283 Melissa Ann Arangoa Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1558880633 Marni Harris Optometrist 5841 S Maryland Ave # S421, Chicago, IL 60637 2017-09-11
1992235105 Vidya Mahavadi Pediatrics 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 2017-06-20
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Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427391515 Sriram Ramgopal Pediatrics 255 E Chicago Ave, Chicago, IL 60611-2605 2013-03-27
1720138779 Alison S Tothy Pediatrics 5841 South Maryland Ave. 0810, Dept. of Pediatrics; Section of Pediatric Emergency Med, Chicago, IL 60637-1407 2007-01-11
1205890613 Susan Miriam Fuchs Pediatrics 225 E Chicago Ave # 62, Chicago, IL 60611 2006-04-13
1508307752 Destiny Deshawn Wilson Pediatrics 225 E Chicago Ave, Chicago, IL 60611-2991 2017-03-20
1407240914 Amy Z. Zhou Pediatrics 225 E Chicago Ave, Chicago, IL 60611 2015-03-23
1164860557 Anisha Kshetrapal Pediatrics 225 E Chicago Ave, Chicago, IL 60611 2013-06-07
1396011540 Wee-jhong Chua Pediatrics 225 E Chicago Ave, Chicago, IL 60611 2012-03-31
1558656108 Leah Ruth Finkel Pediatrics 1740 W Taylor St, Chicago, IL 60612-7232 2011-06-12
1962677211 Dana Doreen Aronson Schinasi Pediatrics 225 E Chicago Ave, Box 62, Chicago, IL 60611-2991 2008-04-28
1376730770 Rebekah Anne Burns Pediatrics 225 E Chicago Ave, Box 62, Chicago, IL 60611-2991 2007-09-28
Find all providers in CHICAGO

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City CHICAGO
Zip Code 60637

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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