M MCNEILL DPM INCORPORATED (NPI# 1831393727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831393727 |
| Entity Type | Organization |
| Organization Name | M MCNEILL DPM INCORPORATED |
| Other Organization Name | PRAIRIE PATH FOOT AND ANKLE CLINIC |
| Practice Address |
136 W Vallette St Suite #2 Elmhurst IL 60126-4377 |
| Practice Telephone | 6308343668 |
| Practice Fax Number | 6308344015 |
| Mailing Telephone | 6308343668 |
| Mailing Fax Number | 6308344015 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | MISTY MCNEILL (DPM) |
| Authorized Official Telephone | 6308343668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-005059 | IL | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Prairie Path Foot and Ankle Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 965 Lake St, Oak Park, IL 603011292 | 6308343668 |
| Street Address |
136 W VALLETTE ST SUITE #2 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-4377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669920922 | Senior Caring Services, Inc. | In Home Supportive Care | 136 W Vallette St, Suite 5, Elmhurst, IL 60126-4377 | 2016-09-15 |
| 1689961757 | Lauren Elizabeth Doyle | Podiatrist | 136 W Vallette St, Suite #2, Elmhurst, IL 60126-4377 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932396488 | George Tsatsos | Podiatrist | 401 N York Rd, Elmhurst, IL 60126-5510 | 2007-09-28 |
| 1922109362 | Robert M Turf | Podiatrist | 277 N York St, Elmhurst, IL 60126-2726 | 2006-09-26 |
| 1689961757 | Lauren Elizabeth Doyle | Podiatrist | 136 W Vallette St, Suite #2, Elmhurst, IL 60126-4377 | 2011-07-08 |
| 1457682080 | Arenson Podiatric Services, PC | Podiatrist | 1200 S York Rd, Suite 3150, Elmhurst, IL 60126-5626 | 2010-01-21 |
| 1730391897 | York Road Surgical Facility | Podiatrist | 277 N York St, Elmhurst, IL 60126-2726 | 2007-05-03 |
| 1487728002 | Elmhurst Podiatry Center Ltd | Podiatrist | 277 N York St, Elmhurst, IL 60126-2726 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.