Individual
MEGAN HISKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6270
Mailing address
3728 N MAGNOLIA AVE, UNIT 2, CHICAGO, IL 60613-3802
(773) 216-5730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008430
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209008430
APN STATE LICENSE NUMBER
IL
Enumeration date
07/25/2011
Last updated
10/19/2012
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