Neault, Mark Alan

Neault, Mark Alan is an individual health care provider with primary practice located at 100 Village Grn Suite 120, Lincolnshire IL 60069-3094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Neault, Mark Alan can be contacted via phone (847) 634-1766.

Contact Information

Primary practice address
100 Village Grn Suite 120 Lincolnshire IL 60069-3094
Phone: (847) 634-1766
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036106039 Illinois

Profile Details

NPI number 1255329801
LBN Legal business name Neault, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Dec 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255329801 NPPES
Illinois MEDICAID 036106039

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