Individual
COREY JAMES MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE RM I-440, CHICAGO, IL 60637-1443
(773) 702-6842
Mailing address
5841 S MARYLAND AVE RM I-440, CHICAGO, IL 60637-1443
(773) 702-6842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1073215315
CO
Other
Enumeration date
03/20/2023
Last updated
05/01/2024
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