Individual
KARLEEN MARIE MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-5434
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1200
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27601
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036104333
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276016
—
SC
Enumeration date
08/29/2006
Last updated
10/31/2014
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