| Megan Mcmahon, Ltd | |
|
215 Revere Dr Suite 1a Northbrook IL 60062-1556 | |
| (847) 323-8615 | |
| Not Available |
| Full Name | Megan Mcmahon, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 215 Revere Dr, Northbrook, Illinois |
| Authorized Official Name and Position | Megan Elizabeth Mcmahon-pietig (PRESIDENT) |
| Authorized Official Contact | 8473238615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Mcmahon, Ltd 2044 Deerfield Rd Highland Park IL 60035-3711 Ph: (847) 323-8615 | Megan Mcmahon, Ltd 215 Revere Dr Suite 1a Northbrook IL 60062-1556 Ph: (847) 323-8615 |
| NPI Number | 1316217094 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Medicare PECOS PAC ID | 1951558311 |
|---|---|
| Medicare Enrollment ID | O20120821000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316217094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006543 (Illinois) | Primary |
| Provider Name | Megan E Mcmahon Pietig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114093242 PECOS PAC ID: 6103716329 Enrollment ID: I20040319000207 |
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