M MCNEILL DPM INCORPORATED NPI 1831393727

NPI Information

  • NPI: 1831393727
  • Provider Name: M MCNEILL DPM INCORPORATED
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: PRAIRIE PATH FOOT AND ANKLE CLINIC
  • Address: 136 W VALLETTE ST
    SUITE #2
    ELMHURST, IL
    ZIP 60126
  • Phone: (630) 834-3668

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NPI Details

M MCNEILL DPM INCORPORATED is a foot and ankle surgery podiatrist in Elmhurst, IL. M MCNEILL DPM INCORPORATED NPI is 1831393727. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prairie Path Foot And Ankle Clinic.

The provider's business location address is:

136 W VALLETTE ST
SUITE #2
ELMHURST, IL
ZIP 60126-377
Phone: (630) 834-3668
Fax: (630) 834-4015

The provider's authorized official is Misty Mcneill .
The authorized official title is Dpm and has the following contact phone number (630) 834-3668.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/22/2019.

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
1213ES0103XPodiatristFoot & Ankle Surgery016-005059ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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