Individual
MEGHAN STARR MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1786 MOON LAKE BLVD STE 104, HOFFMAN ESTATES, IL 60169-1016
(352) 265-4357
Mailing address
1786 MOON LAKE BLVD STE 104, HOFFMAN ESTATES, IL 60169-1016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036157295
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036157295
IL
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0804X
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2016
Last updated
09/14/2021
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