Individual
MEGGAN ANNE MIKAL-DEMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN-FPA
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-2197
(708) 684-4865
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-2197
(708) 684-4865
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.010536
IL
364SP0200X
Pediatric Clinical Nurse Specialist
209.008520
IL
Other
Enumeration date
01/03/2011
Last updated
07/14/2025
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