Provider Demographics
NPI:1508233578
Name:O'NEILL, PEGGY ANN (R EEG/EPT CNIM)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:ANN
Last Name:O'NEILL
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Gender:F
Credentials:R EEG/EPT CNIM
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Mailing Address - Street 1:PO BOX 410
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53008-0410
Mailing Address - Country:US
Mailing Address - Phone:262-641-3700
Mailing Address - Fax:262-641-3719
Practice Address - Street 1:333 W BROWN DEER RD
Practice Address - Street 2:SUITE 240
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-2372
Practice Address - Country:US
Practice Address - Phone:414-351-6666
Practice Address - Fax:414-351-6999
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic