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1821447285 NPI number — CHERIECE MCNEELY M.D.

NPI Number: 1821447285
Health Care Provider/Practitioner: CHERIECE MCNEELY M.D.

Information about “1821447285” NPI (CHERIECE MCNEELY M.D.) exists in 1821447285 in HTML format HTML  |  1821447285 in plain Text format TXT  |  1821447285 in PDF (Portable Document Format) PDF  |  1821447285 in an XML format XML  formats.

NPI Number : 1821447285 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821447285",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCNEELY",
    "FirstName": "CHERIECE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WARD",
    "OtherFirstName": "CHERIECE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "332 S MICHIGAN AVE STE 121",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60604-4302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-798-9306",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "332 S MICHIGAN AVE STE 121",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60604-4302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-798-9306",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/07/2016",
    "LastUpdateDate": "01/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "125.068712",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "036-147786",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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