Organization
MEGHANN HENNELLY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHANN HENNELLY MD (SOLE-MEMBER)
(630) 732-6373
Entity
Organization
Contact information
Practice address
122 S MICHIGAN AVE STE 1025, CHICAGO, IL 60603-6264
(312) 965-1165
Mailing address
122 S MICHIGAN AVE STE 1025, CHICAGO, IL 60603-6264
(312) 965-1165
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.135834
IL
Other
Enumeration date
05/21/2018
Last updated
12/17/2018
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