Individual
MARCIA E NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 S GARY AVE, CDH CONVENIENT CARE AT STRATFORD NORTH, BLOOMINGDALE, IL 60108-2213
(630) 893-9600
(630) 893-9675
Mailing address
1520 LANG DR, BOLINGBROOK, IL 60490-1019
(630) 759-3083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L33388
PIN UNKNOWN TYPE
IL
Enumeration date
02/05/2007
Last updated
07/08/2007
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