Individual
TELLY MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 S LINCOLN AVE, CARPENTERSVILLE, IL 60110-1704
(847) 609-4308
Mailing address
213 S LINCOLN AVE, CARPENTERSVILLE, IL 60110-1704
(847) 609-4308
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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