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Individual

MS. LOREL MAYER NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,CNM

Contact information

Practice address
5525 S PULASKI RD, CHICAGO, IL 60629-4417
(773) 585-1955
(773) 284-5268
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7632
(615) 465-2885

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209003672
IL
367A00000X
Advanced Practice Midwife
Primary
277.000976
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01621679
BCBS OF IL
IL
Enumeration date
11/29/2005
Last updated
10/19/2021
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