Individual
MS. MEGAN KATHLEEN NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
1870 SILVER CROSS BLVD STE 250, NEW LENOX, IL 60451-8647
(815) 463-8989
(815) 463-8948
Mailing address
2845 N. SHERIDAN ROAD, SUITE 912, CHICAGO, IL 60657
(773) 281-0046
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.018853
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245797364
—
IL
Enumeration date
02/25/2019
Last updated
08/05/2022
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