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PETER H. NEALE SC NPI 1487623344


NPI Information

NPI: 1487623344
Provider Name: PETER H. NEALE SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
16240 LOUIS AVE
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 331-9400
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PETER H. NEALE SC is a family medicine in South Holland, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER H. NEALE SC NPI is 1487623344. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16240 LOUIS AVE
SOUTH HOLLAND, IL
ZIP 60473-274
Phone: (708) 331-9400
Fax: (708) 331-7530

The provider's authorized official is Debra Jean Dombrowski .
The authorized official title is Office Manager and has the following contact phone number (708) 331-9400.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 2/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02002162AINDIANANo
2207Q00000XFamily Medicine036-073399ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209079MEDICARE PINILLINOIS
2DC7029MEDICARE PINILLINOIS
3221050MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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