Organization
MEGAN MCMAHON, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN ELIZABETH MCMAHON-PIETIG PH.D. (PRESIDENT)
(847) 323-8615
Entity
Organization
Contact information
Practice address
215 REVERE DR, SUITE 1A, NORTHBROOK, IL 60062-1556
(847) 323-8615
Mailing address
2044 DEERFIELD RD, HIGHLAND PARK, IL 60035-3711
(847) 323-8615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006543
IL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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