Individual
DR. GREGORY A MACNEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 800, CHICAGO, IL 60611-2927
(312) 695-5753
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-0665
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.059400
IL
2085R0202X
Diagnostic Radiology Physician
35.048196
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460415
—
OH
Enumeration date
12/21/2006
Last updated
09/19/2016
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