Individual
JUSTIN NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1540 W CHICAGO AVE, CHICAGO, IL 60642-5236
(773) 232-2300
(773) 232-2301
Mailing address
1540 W CHICAGO AVE, CHICAGO, IL 60642-5236
(773) 232-2300
(773) 232-2301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022697
IL
Other
Enumeration date
08/13/2021
Last updated
08/15/2021
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