Individual
MEGHAN KATHLEEN EDMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3047 N LINCOLN AVE UNIT 400, CHICAGO, IL 60657-4274
(773) 505-1967
Mailing address
3047 N LINCOLN AVE UNIT 400, CHICAGO, IL 60657-4274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8436531
UT
2084P0800X
Psychiatry Physician
036141758
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036141758
IL
Other
Enumeration date
03/26/2011
Last updated
01/23/2019
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