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Contact Information

JACQUELINE D NEAL, MD
820 S DAMEN AVE RM 2535
CHICAGO, IL60612
 Phone: 312-569-6376
 Fax: 312-569-8050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JACQUELINE D NEAL · (Female)

NPI # 1316170103
Status Active
Credentials MD
Entity Individual
Enumeration date 08/27/2009
Last updated 06/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-132962
  • IL License # 125055837
  • IL Medicaid 036132962-1
Hospital affiliation(s) Not Available
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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