Individual
JOHNETTA MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 SOUTH BLVD STE 210, OAK PARK, IL 60302-2982
(773) 306-3647
Mailing address
721 SOUTH BLVD STE 210, OAK PARK, IL 60302-2982
(773) 306-3647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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