Mcneill, Misty L

Mcneill, Misty L is an individual health care provider with primary practice located at 532 S York St , Elmhurst IL 60126-3952. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Mcneill, Misty L can be contacted via phone (630) 834-3668.

Contact Information

Primary practice address
532 S York St Elmhurst IL 60126-3952
Phone: (630) 834-3668
Fax: (630) 834-4015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016005059 Illinois

Profile Details

NPI number 1922085505
LBN Legal business name Mcneill, Misty L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 15th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922085505 NPPES
Illinois Other 2230194 BC
Illinois Other P00067255 BC
Illinois MEDICAID 016005059 BC
Illinois Other 201857850 BC

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