Provider Demographics
NPI:1245358829
Name:NEUMANN, RAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2757 N GREENVIEW AVE APT E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1167
Mailing Address - Country:US
Mailing Address - Phone:773-935-0818
Mailing Address - Fax:
Practice Address - Street 1:372 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-3759
Practice Address - Country:US
Practice Address - Phone:847-695-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190207861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice