Individual
MEGHAN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6550
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085006990
IL
363AS0400X
Surgical Physician Assistant
Primary
363A00000X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024980
—
IN
Enumeration date
02/14/2019
Last updated
03/18/2026
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