George E Miguel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036098565 Issued in IL

Practice address

210 N Hammes Ave Ste 108
Joliet, IL 60435-6688

Phone

(815) 744-8977

Fax

(815) 744-8253

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Trinity Services Inc.

  • Social Worker
  • Joliet, IL
  • NPI 1902086861
  Medicare reassignment NPD
• Trinity Services Inc.

  • Physician Assistant
  • Joliet, IL
  • NPI 1942750534
  NPD
• All Well Medical Clinic Inc.

  • Nurse Practitioner
  • Joliet, IL
  • NPI 1225803091
  NPD (past)
• Lifecore SC

  • Psychiatry Physician
  • Lemont, IL
  • NPI 1356395396
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1174591010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 108",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356688",
            "telephone_number": "815-744-8253",
            "fax_number": "815-744-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 108",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356688",
            "telephone_number": "815-744-8977",
            "fax_number": "815-744-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036098565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "09932095",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "036098565",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098565",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "260050828",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Physician Group LTD
• Midwest Rehabilitation Associates LLC
• Midwest Respiratory, LTD.
• Midwest Surgery and Oncology Consultants LLC
• Ankur Miglani, PHARM D
• Peter Mihalakakos, M.D.
• Christian James Miklos, OD
• Jane Miller, M.A. CCC-SLP/L
• Kaylee Lynne Miller, AUD
• Makenzie Miller

• Psychiatry Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.