MEDICARE: DR. NINA NEYMAN M.D.

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	207R00000X	Internal Medicine Physician	036065477	IL

General Provider Information

NPI Number	:	1942263512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINA NEYMAN M.D.

Provider Business Mailing Address
First Line	:	1170 E BELVIDERE RD STE 202
Second Line	:
City	:	GRAYSLAKE
State	:	IL
Zip	:	60030-2076
Country	:	US
Telephone Number	:	847-566-0300
Fax Number	:	847-566-2818

Provider Business Practice Location Address
First Line	:	157 N SEYMOUR AVE
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-2304
Country	:	US
Telephone Number	:	847-566-0300
Fax Number	:	847-566-2818

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	02/22/2017

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