George Spencer Patton II, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.124830 Issued in IL

Practice address

108 Wilmot Rd
Ms 1820
Deerfield, IL 60015-5145

Phone

(847) 580-0002

Fax

(847) 374-0207

NPI assigned

Jul 7, 2008

Sex

Male

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

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

State licenses

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.

• Premise Health of Illinois Medical PC

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921
  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD
• Premise Health of Illinois Medical, PC

  • Primary Care Clinic/Center
  • Deerfield, IL
  • NPI 1033494976
  NPD
• Premise Health of Illinois Medical PC

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1477881845
  NPD (past)

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1891958112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WILMOT RD",
            "address_2": "MS 1820",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155145",
            "telephone_number": "847-580-0002",
            "fax_number": "847-374-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WILMOT RD",
            "address_2": "MS 1820",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155145",
            "telephone_number": "847-580-0002",
            "fax_number": "847-374-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "GEORGE",
        "middle_name": "SPENCER",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.124830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darpana Patel, PHARMD
• Disha Yogesh Patel, DPT
• Nisha V Patel, PHARMD
• Nishtha Patel, BS
• Kylie Patrick
• Paul M. Berkowitz, M.D., S.C.
• Lisa Merle Peck, M.D.
• Mia Rose Pegg
• Alexandra Irene Perez
• Sheila Perez

• Internal Medicine Physician in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.