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NPI Code Detail

MEDICARE: ANGELA D MCNEILL

MEDICARE: ANGELA D MCNEILL
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
1363LF0000XFamily Nurse PractitionerMCNE-J9BHRNC

General Provider Information

NPI Number : 1538988639
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA D MCNEILL
Provider Business Mailing Address
First Line : 1221 N SWIFT RD
Second Line :
City : ADDISON
State : IL
Zip : 60101-6105
Country : US
Telephone Number : 877-751-5783
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N SWIFT RD
Second Line :
City : ADDISON
State : IL
Zip : 60101-6105
Country : US
Telephone Number : 877-751-5783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2024
Last Update Date : 10/07/2024

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Directions to “ ANGELA D MCNEILL ” Practice Location

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