Provider Demographics
NPI:1871529214
Name:MCENEANEY, CHERYL S (OD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:S
Last Name:MCENEANEY
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:16 N CARPENTER ST
Mailing Address - Street 2:UNIT 4S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2199
Mailing Address - Country:US
Mailing Address - Phone:312-988-0093
Mailing Address - Fax:
Practice Address - Street 1:70 E LAKE ST
Practice Address - Street 2:SUITE 107
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5959
Practice Address - Country:US
Practice Address - Phone:312-236-3822
Practice Address - Fax:312-236-3825
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2017-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL46-7708152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist