Individual
MEGHAN LOOBY WAINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 PENNSYLVANIA AVE, SUITE 240, GLEN ELLYN, IL 60137-4464
(630) 364-7853
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003008
IL
Other
Enumeration date
08/14/2007
Last updated
07/28/2023
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