Provider Demographics
NPI:1013421627
Name:NEURAUTER, JACQUELINE A (C-IREST)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:A
Last Name:NEURAUTER
Suffix:
Gender:F
Credentials:C-IREST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 S. PLUM GROVE RD.
Mailing Address - Street 2:SUITE 314
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7165
Mailing Address - Country:US
Mailing Address - Phone:847-359-6391
Mailing Address - Fax:
Practice Address - Street 1:800 E. NORTHWEST HWY
Practice Address - Street 2:SUITE 500
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074
Practice Address - Country:US
Practice Address - Phone:847-359-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator