Individual
MARCIA MEGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18221 TORRENCE AVE, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Mailing address
18221 TORRENCE AVE, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01043819A
IN
207L00000X
Anesthesiology Physician
036090798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603873
ANTHEM PROVIDER NUMBER
IN
05
—
036090798
—
IL
05
—
200118920
—
IN
Enumeration date
01/29/2007
Last updated
05/21/2010
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