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Organization

M MCNEILL DPM INCORPORATED

Active
Other names
Prairie Path Foot and Ankle Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY MCNEILL DPM (DPM)
(630) 834-3668
Entity
Organization

Contact information

Practice address
136 W VALLETTE ST, SUITE #2, ELMHURST, IL 60126-4377
(630) 834-3668
(630) 834-4015
Mailing address
136 W VALLETTE ST, SUITE #2, ELMHURST, IL 60126-4377
(630) 834-3668
(630) 834-4015

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005059
IL

Other

Enumeration date
06/13/2007
Last updated
08/22/2019
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