Individual
DR. CAROL J MCNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4800 S LAKE PARK AVE APT 1707, CHICAGO, IL 60615-2024
(773) 285-5880
(773) 285-5880
Mailing address
4800 S LAKE PARK AVE APT 1707, CHICAGO, IL 60615-2024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.016826
IL
Other
Enumeration date
06/21/2009
Last updated
06/21/2009
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