Individual provider · Type 1 NPI
Patrick Michael Sullivan Neville, MD
Vascular Surgery Physician · Belleville, IL
NPI number
1588959548
Active
Practice location
4600 Memorial Dr Ste 160
Belleville, IL 62226-5359
Fax (618) 416-0153
Mailing address
PO Box 959203
St. Louis, MO 63195-9203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 036133474 (IL) |
| Vascular Surgery Physician | 2086S0129X | 57.017278 (OH) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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- Hans Hassan Moosa, MDVascular Surgery Physician Belleville, IL NPI 1194768432
- Evan Neville, MDVascular Surgery Physician Belleville, IL NPI 1245694538
- Nitin Gulshan Malhotra, MDVascular Surgery Physician Belleville, IL NPI 1407007982
About NPI 1588959548
Patrick Michael Sullivan Neville, MD's National Provider Identifier is 1588959548, issued on Jun 17, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Belleville, IL. The record was last updated on Apr 7, 2026.