Provider Demographics
NPI:1801952965
Name:NEAL, MICHAEL BRYAN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRYAN
Last Name:NEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 E ALGONQUIN RD STE 109
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4167
Mailing Address - Country:US
Mailing Address - Phone:847-394-5650
Mailing Address - Fax:847-394-5699
Practice Address - Street 1:2000 E ALGONQUIN RD STE 304
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4189
Practice Address - Country:US
Practice Address - Phone:847-394-5650
Practice Address - Fax:847-394-5699
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092878207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036092878Medicaid
IL200027659OtherRR MEDICARE