Organization Active NPI

Brian McNeil, Inc

  • Primary Care Clinic/Center
  • Chatham, IL
National Provider Identifier
1427947290
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIAN MCNEIL, INC
Practice address
347 Williams LN
Chatham, IL 62629-1044
Phone
(217) 316-2258
NPI assigned
Jun 28, 2025
Last updated
Jun 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Patrick McNeil, PHYSICAL THERAPISTNPI 1164626040
Title
President
Phone
(217) 316-2258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

347 Williams LN
Chatham, IL 62629-1044

Mailing address

110 Ivy Glen Dr
Chatham, IL 62629-1500
Phone (217) 316-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250804003953 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082122718 Receives reassigned benefits from 1 practitioner
Practice locations: Chatham, IL

National Provider Directory

National Provider Directory

Locations

347 Williams Ln
Chatham, IL 62629
Phone (217) 316-2258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1427947290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IVY GLEN DR",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291500",
            "telephone_number": "217-316-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 WILLIAMS LN",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291044",
            "telephone_number": "217-316-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MCNEIL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-316-2258",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.