Dr. Ivan Georgese
Dr. Ivan Georgese is a Dentist in Morton Grove, Illinois. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
8640 Waukegan Rd Unit 531Morton Grove, IL 60053-2226
Phone: (224) 703-7640
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 110476 (CA) |
|---|
Record details
| NPI number | 1295567212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2024 |
| Last updated in NPPES | August 19, 2024 |
| Certification date | August 18, 2024 |
| Mailing address | 8640 Waukegan Rd Unit 531, Morton Grove, IL 60053-2226 |
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