Theresa Pericles George

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209.033880 Issued in IL

Practice address

1949 N Hudson Ave Apt 1F
Chicago, IL 60614-5250

Phone

(314) 277-9140

NPI assigned

Apr 29, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1811785819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 N HUDSON AVE APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 N HUDSON AVE APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145250",
            "telephone_number": "314-277-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "THERESA",
        "middle_name": "PERICLES",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.033880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto George, APRN
• Sean T George, MD
• Shalom George
• Shareen George, NP
• Shi-Fong George, PHARM D.
• Tom George, MD
• Jacquelyn Georgen, LCSW
• Elizabeth McIlduff Georges, M.D.
• George Earl Georges, M.D.
• Livia Georgescu

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.