Peter H. Neale SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-073399 Issued in IL

Legal business name

PETER H. NEALE SC

Practice address

16240 Louis Ave
South Holland, IL 60473-2274

Phone

(708) 331-9400

Fax

(708) 331-7530

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Jean Dombrowski

Title

Office Manager

Phone

(708) 331-9400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1487623344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16240 LOUIS AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732274",
            "telephone_number": "708-331-9400",
            "fax_number": "708-331-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16240 LOUIS AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732274",
            "telephone_number": "708-331-9400",
            "fax_number": "708-331-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H. NEALE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "DOMBROWSKI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-331-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-073399",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002162A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasa Perry, LCPC
• Alexander Perteete
• Peter M. Jurkash, D.D.S.,P.C.
• Ian B Petersen, ATC-L
• Pioneer Concepts Inc
• Robert Poepsel
• Cathy J Postma, OTR/L

• Family Medicine Physician in South Holland, IL
• Providers in South Holland, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.