Individual
NEELI AXLER ENGELHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2941 W PRATT BLVD, CHICAGO, IL 60645-4277
(773) 262-5649
Mailing address
2941 W PRATT BLVD, CHICAGO, IL 60645-4277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001481
IL
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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