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Organization
L.E. MCNEILL, MD SC
Active
Organization
L.E. MCNEILL, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND E MCNEILL MDSC (MEDICAL DOCTOR)
(217) 348-8727
Entity
Organization
Contact information
Practice address
506 W LINCOLN AVE, SUITES 200A&B, CHARLESTON, IL 61920-2453
(217) 348-8727
(217) 345-7146
Mailing address
506 W LINCOLN AVE, SUITES 200A&B, CHARLESTON, IL 61920-2453
(217) 348-8727
(217) 345-7146
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170260
PERSONAL CARE
IL
Enumeration date
10/01/2007
Last updated
12/14/2007
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