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NPI Code Detail

MEDICARE: DR. PATRICK ALLEN MCENEANEY D.P.M.

MEDICARE: DR. PATRICK ALLEN MCENEANEY D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist016.005350IL

General Provider Information

NPI Number : 1174613319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK ALLEN MCENEANEY D.P.M.
Provider Business Mailing Address
First Line : 113 W MAIN ST
Second Line :
City : CARY
State : IL
Zip : 60013-2718
Country : US
Telephone Number : 847-639-5800
Fax Number : 847-639-2980
Provider Business Practice Location Address
First Line : 113 W MAIN ST
Second Line :
City : CARY
State : IL
Zip : 60013-2718
Country : US
Telephone Number : 847-639-5800
Fax Number : 847-639-2980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 12/16/2019

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