MEDICARE: DAVID G. MCNEAL M.S.

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
1	101YM0800X	Mental Health Counselor		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18081	OTHER	IL	VMC BEHAVIORAL HEALTHCARE
2	14659167	OTHER	IL	UBH
3	167001	OTHER	IL	COMPSYCH
4	189987	OTHER	IL	MHN
5	339000	OTHER	IL	PSYCHEALTH
6	1632506	OTHER	IL	BCBSIL
7	155607	OTHER	IL	VALUE OPTIONS

General Provider Information

NPI Number	:	1427145499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID G. MCNEAL M.S.

Provider Business Mailing Address
First Line	:	66 S COUNTRY SQUIRE RD
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1227
Country	:	US
Telephone Number	:	708-448-7540
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 S COUNTRY SQUIRE RD
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1227
Country	:	US
Telephone Number	:	708-785-5036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	07/08/2007

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