Individual
MEGAN ELIZABETH MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
2650 RIDGE AVE # 4945, EVANSTON, IL 60201
(847) 357-0127
(847) 570-1436
Mailing address
2650 RIDGE AVE # 4945, EVANSTON, IL 60201-1700
(847) 357-0127
(847) 570-1436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012647
IL
363LA2100X
Acute Care Nurse Practitioner
209012647
IL
Other
Enumeration date
05/05/2015
Last updated
03/25/2025
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