NPI 1356391387

Kevin Renard Teal, MD

Practitioner Neurological Surgery Physician Urbana, IL

Practice location

Address: 611 W. Park St. Neurosurgery, Urbana, IL 61801-2500
Phone: (217) 383-3507
Fax: (217) 383-6006
Mailing address: 611 W. Park St. Bwpc, Urbana, IL 61801-2500

Registered specialties (3)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 036134440 (IL)

Other Neurological Surgery providers in Illinois →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence J2368 (TX)

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 29001 (OK)

Registry record

NPI: 1356391387
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 10 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.