Individual
NIEL NIELSON VEIRUP IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 MICHIGAN AVE NW FL 1.5, WASHINGTON, DC 20010-2916
(202) 476-3395
Mailing address
11034 HIAWATHA BLVD, MOKENA, IL 60448-1629
(708) 653-8613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
OS20269
FL
390200000X
Student in an Organized Health Care Education/Training Program
0102209247
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DO210012556
DC
390200000X
Student in an Organized Health Care Education/Training Program
H0104314
MD
Other
Enumeration date
04/13/2021
Last updated
08/02/2025
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