George Sun
Gynecologist
430 N Pleasant Ave
Centralia
, Illinois 62801-3006
George Sun
Gynecologist
430 N Pleasant Ave
Centralia
, Illinois 62801-3006
(618) 532-9347
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- George Sun
- 430 N Pleasant Ave
- Centralia, IL
- Zip : 62801-3006
- Fax : (618) 532-9347
- Phone : (618) 436-8350
Second Address
- George Sun
- 430 N Pleasant Ave
- Centralia, IL
- Zip : 62801-3006
- Fax : (618) 532-9347
- Phone : (618) 436-8350
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | IL |
National Provider Identifier
| NPI | 1053350173 |
|---|---|
| Provider Name | George Sun |
| First Address | Centralia, IL 62801-3006 |
| Second Address | Centralia, IL 62801-3006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 27/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 207988 | GROUP (01) | IL |
| C45599 | (02) | IL |
| CH4443 | RR GROUP NUMBER (01) | IL |
| P00180554 | RR MEDICARE NUMBER (01) | IL |
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.