Individual
MEGAN E HILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPA, PA-C
Contact information
Practice address
2150 GETTLER ST STE 455, DYER, IN 46311-2381
(219) 922-7159
(219) 922-4020
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.006337
IL
363A00000X
Physician Assistant
Primary
10003909A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.006337
STATE OF ILLINOIS LICENSE
IL
Enumeration date
10/03/2017
Last updated
10/02/2023
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