Individual provider Active NPI

Nathaniel Vernon George, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1154784486
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005859 Issued in IL
Practice address
1706 E 87TH St
Chicago, IL 60617-2740
Phone
(419) 320-0229
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005859 IL Primary

Addresses

Primary practice location

1706 E 87TH St
Chicago, IL 60617-2740

Mailing address

1706 E 87TH St
Chicago, IL 60617-2740
Phone (773) 374-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123001456 IL Practitioner - Podiatry 1456786359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

1301 E 47TH St
Chicago, IL 60653-4507
Phone (773) 924-7765

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions1-10
Removal of nail tissue163
Removal or shaving of skin growth50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005859ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
G3 Medical LLC CurrentSince Jan 5, 2021 Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Oct 7, 2024 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 31, 2022 Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Oct 7, 2024 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 31, 2022 Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients
Jondelle Jenkins Podiatrist Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239

8751 S Greenwood Ave
Ste 100
Chicago, IL 60619
Phone (773) 967-4270

1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212

1516 E 87th St
Chicago, IL 60619
Phone (773) 375-7106

10801 S Western Ave
Ste 200
Chicago, IL 60643
Phone (773) 445-3964

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

1125 Westgate St
Oak Park, IL 60301
Phone (708) 848-0040

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

Interoperability endpoints

  • Direct secure messaging: ngeorge278551@direct.myadvocateaurora.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1154784486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172740",
            "telephone_number": "773-374-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172740",
            "telephone_number": "419-320-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NATHANIEL",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.