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Individual

KATHLEEN A NEACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
519 S ROSELLE RD, SCHAUMBURG, IL 60193-2925
(847) 985-0600
(847) 985-3786

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036116722
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036116722
STATE LICENSE
IL
05
058319700
MN
Enumeration date
04/19/2006
Last updated
01/04/2022
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