Individual
DOUGLAS O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
3831 VENARD RD, DOWNERS GROVE, IL 60515-1346
(630) 418-3684
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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