Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | IL |
NPI | 1992881825 |
---|---|
Provider Name | Dr. Ann Megna |
First Address | Naperville, IL 60540-4174 |
Second Address | Lisle, IL 60532-4388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 05/11/2021 |