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Contact Information

KEVIN G NEILL, M.D., M.P.H.
405 W JACKSON ST
CARBONDALE, IL62901-1462
 Phone: 618-549-0721
 Fax: 618-351-4968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KEVIN G NEILL · (Male)

NPI # 1972821734
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 05/04/2010
Last updated 09/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME 123583
  • IL License # 036140523
  • IN License # 01073858A
  • IL Other 214881 MEDICARE GROUP
Hospital affiliation(s)
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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