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Individual
MICAH W MCNEILL
Active
Individual
MICAH W MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A185317
IA
363LF0000X
Family Nurse Practitioner
Primary
209023492
IL
Other
Enumeration date
06/29/2021
Last updated
08/15/2025
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