Individual
MS. MEGAN R KANE TOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 BIESTERFIELD RD, ELK GROVE VLG, IL 60007-3306
(847) 690-1776
(847) 690-1777
Mailing address
555 BIESTERFIELD RD, ELK GROVE VLG, IL 60007-3306
(847) 690-1003
(847) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85-001320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K00159
PROVIDER NUMBER
IL
Enumeration date
07/12/2006
Last updated
04/26/2021
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