Individual
MEGHAN JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14315 108TH AVE STE 230, ORLAND PARK, IL 60467-5701
(708) 675-2100
Mailing address
15701 PEGGY LN APT 1, OAK FOREST, IL 60452-3182
(708) 209-7943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58998
IL
Other
Enumeration date
07/11/2022
Last updated
07/24/2022
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