Individual
MEGAN KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMT, MT-BC
Contact information
Practice address
6049 CRAIN ST, MORTON GROVE, IL 60053-2941
(847) 966-0251
Mailing address
6049 CRAIN ST, MORTON GROVE, IL 60053-2941
(847) 966-0251
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
K300-5539-0779
IL
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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