# M MCNEILL DPM INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Path Foot and Ankle Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831393727
- **Authorized official:** MISTY MCNEILL DPM (DPM)
- **Authorized official phone:** (630) 834-3668

## Contact information

- **Practice address:** 136 W VALLETTE ST, SUITE \#2, ELMHURST, IL 60126-4377
- **Practice address phone:** (630) 834-3668
- **Practice address fax:** (630) 834-4015
- **Mailing address:** 136 W VALLETTE ST, SUITE \#2, ELMHURST, IL 60126-4377
- **Mailing address phone:** (630) 834-3668
- **Mailing address fax:** (630) 834-4015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016-005059 | IL | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2019