Neal Charles Nealis JR. D.D.S.

NPI 1063545713 - Dentist - 1223G0001X

NPI Details
NPI 1063545713
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
233 E ERIE ST
SUITE #812
CHICAGO IL, 60611-2926, US
Phone (312) 266-9487
Fax
Business Location
233 E ERIE ST
SUITE #812
CHICAGO IL, 60611-2926, US
Phone (312) 266-9487
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number A19-16762
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According to our database, Dr. Neal Charles Nealis JR. D.D.S. NPI is 1063545713, taxonomy code is 1223G0001X and license number is A19-16762, license state is located at Illinois. Neal Charles Nealis JR. D.D.S. physically located at 233 E Erie St, Chicago IL, 60611-2926. NPI Number Neal Charles Nealis JR. D.D.S. has the Individual type.

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1063545713 NPI number is provided on an as is basis without warranty of any kind. 1063545713 is maintained by the National Plan & Provider Enumeration System. The contents of Neal Charles Nealis JR. D.D.S. are for informational purposes only.