Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 036145077 | IL |
NPI | 1336435296 |
---|---|
Provider Name | Megan J Forshee |
First Address | Springfield, IL 62703-2403 |
Second Address | Springfield, IL 62702-3749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 22/05/2020 |