# CHICAGO MEG CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205012333
- **Authorized official:** MR. JOHN HAKES (VICE PRESIDENT)
- **Authorized official phone:** (317) 663-0384

## Contact information

- **Practice address:** 5554 S HYDE PARK BLVD, CHICAGO, IL 60637-1909
- **Practice address phone:** (773) 324-9200
- **Practice address fax:** (773) 324-9300
- **Mailing address:** 11595 N MERIDIAN ST, SUITE 300, CARMEL, IN 46032-6947
- **Mailing address phone:** (317) 663-0384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 01/18/2008