Individual
MEGHAN NICOLE JURGAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1672 S GALENA AVE, DIXON, IL 61021-9611
(866) 547-1417
Mailing address
486 S PEACE RD, SYCAMORE, IL 60178-1655
(630) 677-7555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006512
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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