Individual
MEGAN LA VIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2820 W ARMITAGE AVE STE 1, CHICAGO, IL 60647-6318
(773) 394-0796
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012141
IL
Other
Enumeration date
09/28/2017
Last updated
12/28/2021
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