Individual
MS. MEGAN E REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
225 E CHICAGO AVE, BOX 107, CHICAGO, IL 60611-2991
(312) 227-6060
(312) 227-9402
Mailing address
225 E CHICAGO AVE, BOX 107, CHICAGO, IL 60611-2991
(312) 227-6060
(312) 227-9402
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.010840
IL
Other
Enumeration date
01/30/2014
Last updated
02/04/2015
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