Individual
DR. MEGAN MIA NORONHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(415) 412-6455
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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