Provider Demographics
NPI:1427477926
Name:GEORGES, ALAN (MB CH B)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:GEORGES
Suffix:
Gender:M
Credentials:MB CH B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1658
Mailing Address - Country:US
Mailing Address - Phone:847-535-6489
Mailing Address - Fax:847-535-7655
Practice Address - Street 1:1000 N WESTMORELAND RD FL 3
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1658
Practice Address - Country:US
Practice Address - Phone:847-535-6489
Practice Address - Fax:847-535-7655
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-11
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1451402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry