| Doctor Name: | STEPHANIE JO MCGEORGE |
| NPI Number: | 1114388543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN RN CNOR RNFA |
| License Number: | 041.320680 |
| Business Practice Address: | 104 E Ashland Ave Mount Zion, IL - 625491271 |
| Business Phone Number: | 2178642665 |
| Business Fax Number: | 2173305571 |
| Mailing Address: | 104 E Ashland Ave, MOUNT ZION |
| State: | IL |
| Postal Code: | 625491271 |
| Phone Number: | 2178642665 |
| Fax Number: | 2173305571 |
| NPI Enumeration Date: | 03/12/2016 |
| NPI Last Update Date: | 03/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0800X |
| License Number: | 041.320680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |