Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGE L ENRIQUEZ SR., DPM
ActiveGEORGE L ENRIQUEZ SR., DPM is a Podiatrist healthcare provider located in BANNOCKBURN, Illinois. NPI 1073680203 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · BANNOCKBURN, IL
Registration Details
- NPI Number
- 1073680203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.680001167573 yrs)
- Last Updated
- Dec 30, 2021
- Licenses
-
016003880 (IL)016003880 (IL)
Practice Information
- Address
-
2101 WAUKEGAN RD STE 203BANNOCKBURN, IL, 600151836Browse IL providers · Browse ZIP 60015
- Phone
- 8473907666
- Fax
- 8473909345
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.