Dr. George Sousanieh
Internist Nephrologist
9125 S Pulaski Rd
Evergreen Park
, Illinois 60805-1441
Dr. George Sousanieh
Internist Nephrologist
9125 S Pulaski Rd
Evergreen Park
, Illinois 60805-1441
(708) 422-7816
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. George Sousanieh
- 9125 S Pulaski Rd
- Evergreen Park, IL
- Zip : 60805-1441
- Fax : (708) 422-7816
- Phone : (708) 422-7715
Second Address
- Dr. George Sousanieh
- 9125 S Pulaski Rd
- Evergreen Park, IL
- Zip : 60805-1441
- Phone : (708) 422-7715
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 125065808 | IL |
| N | 111NI0900X | Internist | 125065808 | IL |
| Y | 207RN0300X | Nephrologist | 036142389 | IL |
National Provider Identifier
| NPI | 1033514625 |
|---|---|
| Provider Name | Dr. George Sousanieh |
| First Address | Evergreen Park, IL 60805-1441 |
| Second Address | Evergreen Park, IL 60805-1441 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2014 |
| Last Update Date | 17/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.