Search › Illinois › 1041C0700X
Latisha O Neal, LCSW
NPI 1770779969 · on the registry since 2007
Practice
- Address
- 102 W Kenwood Ave Ste 100
Decatur, IL 62526 - Phone
- (217) 872-3800
- Fax
- (217) 872-0849
- Organisation at this address
- Drs Graham & Graham Ltd
Decatur Memorial Hospital
Board Of Trustees Of Southern Illinois UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 720 W Chestnut St, Bloomington, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois