# DR. MEGAN'S HEALTHCARE MINISTRIES LLC

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

## Provider details

- **NPI number:** 1285143354
- **Authorized official:** MEGAN ROSHELL KEARNEY (OWNER)
- **Authorized official phone:** (815) 539-3739

## Contact information

- **Practice address:** 1201 MERIDEN ST, MENDOTA, IL 61342-2501
- **Practice address phone:** (815) 539-3739
- **Practice address fax:** (815) 539-3753
- **Mailing address:** 1201 MERIDEN ST, MENDOTA, IL 61342-2501
- **Mailing address phone:** (815) 539-3739
- **Mailing address fax:** (815) 539-3753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 290.015585 | IL | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 06/11/2019