person
George Sun, MD
Gynecology Physician in Centralia, Illinois
NPI 1053350173

George Sun is a Gynecology Physician based in Centralia, IL and is specialized in Gynecology. George Sun practices in Centralia, IL and has the professional credentials of MD. The NPI Number for George Sun is 1053350173 and holds a License No. (Illinois).

The current practice location address for George Sun is 430 N Pleasant Ave, Centralia, IL and can be reached out via phone at 618-436-8350 and via fax at 618-532-9347.

Location: 430 N Pleasant Ave, Centralia, IL, 62801-3006
person
Provider Profile Details
NPI Number
1053350173
Provider Name
George Sun
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
430 N Pleasant Ave, Centralia, IL, 62801-3006
Phone Number
618-436-8350
Fax Number
618-532-9347
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207988 01 IL GROUP
CH4443 01 IL RR GROUP NUMBER
P00180554 01 IL RR MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
430 N Pleasant Ave
City
State
Zip
62801-3006
Phone Number
618-436-8350
Fax Number
618-532-9347
person
Provider Business Mailing Address Details
Address
430 N Pleasant Ave
City
State
Zip
62801-3006
Phone Number
618-436-8350
Fax Number
618-532-9347
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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