Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEORGE A WHORTEN JR., PTA
Active Sole ProprietorMR. GEORGE A WHORTEN JR., PTA is a Community Health Worker healthcare provider located in GOODFIELD, Illinois. NPI 1639437395 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · GOODFIELD, IL
Registration Details
- NPI Number
- 1639437395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2012 (14.261802049327 yrs)
- Last Updated
- May 1, 2012
- License
-
160002868 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 E ROBINSON STGOODFIELD, IL, 617429618Browse IL providers · Browse ZIP 61742
- Phone
- 3096459222
- Primary Specialty
-
Community Health Worker
172V00000X
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.