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Individual
MR. MICHAEL MCDONALD EGAN
Active
Individual
MR. MICHAEL MCDONALD EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-295140
IL
363LF0000X
Family Nurse Practitioner
Primary
209-001343
IL
Other
Enumeration date
09/27/2006
Last updated
04/12/2013
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