Ivan Georgese
NPI 1295567212 · on the registry since 2024 · sole proprietor
Practice
- Address
- 8640 Waukegan Rd Unit 531
Morton Grove, IL 60053 - Phone
- (224) 703-7640
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois