| Doctor Name: | GEORGE SUN |
| NPI Number: | 1053350173 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 430 N Pleasant Ave Centralia, IL - 628013006 |
| Business Phone Number: | 6184368350 |
| Business Fax Number: | 6185329347 |
| Mailing Address: | 430 N Pleasant Ave, CENTRALIA |
| State: | IL |
| Postal Code: | 628013006 |
| Phone Number: | 6184368350 |
| Fax Number: | 6185329347 |
| NPI Enumeration Date: | 06/05/2006 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |