Individual
DR. BRIAN A ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 MEMORIAL DR, STE. 220, BELLEVILLE, IL 62226-5368
(618) 235-6191
(618) 235-6716
Mailing address
4600 MEMORIAL DR STE 400, BELLEVILLE, IL 62226-5366
(618) 235-0460
(618) 235-1464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036046574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046574
—
IL
Enumeration date
08/31/2005
Last updated
02/25/2021
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