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Individual

MEAGAN PAYNE JAKOB-POLLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.025849
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209025849
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209025849
IL
Enumeration date
09/05/2022
Last updated
03/04/2025
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