Provider Demographics
NPI:1417069659
Name:FRENCH, NEEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:K
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 N CLARK ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7734
Mailing Address - Country:US
Mailing Address - Phone:773-857-2650
Mailing Address - Fax:773-857-2645
Practice Address - Street 1:2551 N CLARK ST
Practice Address - Street 2:SUITE 303
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7734
Practice Address - Country:US
Practice Address - Phone:773-857-2650
Practice Address - Fax:773-857-2645
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036075827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036075827Medicaid
IL036075827Medicaid
ILL70117Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
ILE30870Medicare UPIN