Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanmisola George

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154980571

Sanmisola George is a Family Practice in Park Ridge, Illinois. Qualified in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone: (847) 318-6020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A183488 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154980571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address23520 Cactus Ave, Moreno Valley, CA 92553-8906

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Park Ridge