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Evan Neville, MD
Student in an Organized Health Care Education/Training Program in Belleville, Illinois
NPI 1245694538

Evan Neville is a Student in an Organized Health Care Education/Training Program based in Belleville, IL. Evan Neville practices in Belleville, IL and has the professional credentials of MD. The NPI Number for Evan Neville is 1245694538 and holds a License No. 036154716 (Illinois).

The current practice location address for Evan Neville is 4600 Memorial Dr Ste 120, Belleville, IL and can be reached out via phone at 618-222-1020.

Location: 4600 Memorial Dr Ste 120, Belleville, IL, 62226-5359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245694538
Provider Name
Evan Neville
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4600 Memorial Dr Ste 120, Belleville, IL, 62226-5359
Phone Number
618-222-1020
Fax Number
Provider Enumeration Date
04/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4600 Memorial Dr Ste 120
City
Belleville
State
Illinois
Zip
62226-5359
Phone Number
618-222-1020
Fax Number
person
Provider Business Mailing Address Details
Address
4600 Memorial Dr Ste 120
City
Belleville
State
Illinois
Zip
62226-5359
Phone Number
618-222-1020
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036154716 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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