Individual
MS. MEGHAN MARIE MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
6105 N LINCOLN AVE, CHICAGO, IL 60659-2313
(773) 279-0927
Mailing address
1636 DUNDEE DR, WHEATON, IL 60187-7705
(708) 805-0230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001533
IL
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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