Individual
MEGAN O'GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 W BUCKINGHAM PL APT 308, CHICAGO, IL 60657-2562
(630) 470-0272
Mailing address
865 W BUCKINGHAM PL APT 308, CHICAGO, IL 60657-2562
(630) 470-0272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.008903
IL
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-
MAY BE MEDICARE AND NON-MEDICARE
—
Enumeration date
01/09/2023
Last updated
01/09/2023
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