Neeley, Scott Porter

Neeley, Scott Porter is an individual health care provider with primary practice located at 2800 N Sheridan Rd Ste 301, Chicago IL 60657-6158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Neeley, Scott Porter can be contacted via phone (773) 935-5556.

Contact Information

Primary practice address
2800 N Sheridan Rd Ste 301 Chicago IL 60657-6158
Phone: (773) 935-5556
Fax: (773) 935-2724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36082721 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 36082721 Illinois

Profile Details

NPI number 1083618417
LBN Legal business name Neeley, Scott Porter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 16th, 2010 - about 15 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 1083618417 NPPES
Illinois MEDICAID 36082721

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