Individual
DR. MADELEINE NEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1770 FIRST STREET, SUITE #300, HIGHLAND PARK, IL 60035-3236
(847) 433-1800
Mailing address
1770 FIRST STREET, SUITE #300, HIGHLAND PARK, IL 60035-3236
(847) 433-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036063396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004932187
BCBS PROVIDER ID
IL
01
—
036063396
IL PHYSICIAN LICENSE #
IL
01
—
14D1016269
CLIA #
IL
01
—
209374
MEDICARE PRACTICE ID
IL
Enumeration date
05/23/2006
Last updated
10/02/2012
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