Individual
DR. PHILIP W MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019030046
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
018001868
IL
Other
Enumeration date
06/05/2013
Last updated
05/26/2016
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