Individual
NEIL ALAN PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W MAIN ST STE M, ST CHARLES, IL 60174-1773
(630) 584-9242
(630) 584-9243
Mailing address
2000 W MAIN ST STE M, ST CHARLES, IL 60174-1773
(630) 584-9242
(630) 584-9243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005283
IL
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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