Individual
DR. LELAND E. MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 W LINCOLN AVE, SUITES 200 A AND B, CHARLESTON, IL 61920-2453
(217) 348-8727
(217) 345-7146
Mailing address
506 W LINCOLN AVE, SUITES 200 A AND B, CHARLESTON, IL 61920-2453
(217) 348-8727
(217) 345-7146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-036335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001800008
BCBS
IL
05
—
036036335
—
IL
01
—
170260
PERSONAL CARE
IL
Enumeration date
09/02/2006
Last updated
01/09/2008
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