Organization Name: | WILLIAM N. GEORGIS, M.D., S.C. |
NPI Number: | 1588945729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM GEORGIS (PRESIDENT) |
Mailing Address: | 6030 Garrett Ln Rockford |
State: | IL US |
Postal Code: | 611076637 |
Phone Number: | 8153987600 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036053928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |