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Organization

MEGHANN HENNELLY MD LLC

Active
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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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