MEDICARE: MEGAN MASTERS APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	209.020226	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154964922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MASTERS APN

Provider Business Mailing Address
First Line	:	5641 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4921
Country	:	US
Telephone Number	:	773-728-4784
Fax Number	:

Provider Business Practice Location Address
First Line	:	5641 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4921
Country	:	US
Telephone Number	:	773-728-4784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	10/23/2019

Similar Medicare Providers

1609836931 — LINCOLN PEDIATRIC CENTER, PC
Practice Location Address:

5641 N LINCOLN AVE
CHICAGO, IL
60659-4921

Practice Phone: 773-728-4784
Practice Fax: 773-728-4759

1992765283 — DR. JOANN EVIOTA RUIZ MD
Practice Location Address:

5641 N LINCOLN AVE
CHICAGO, IL
60659-4921

Practice Phone: 773-728-4784
Practice Fax: 773-728-4759

1174538490 — WALGREEN CO
Practice Location Address:

5627 N LINCOLN AVE
CHICAGO, IL
60659-4921

Practice Phone: 773-728-7916
Practice Fax:

1184881435 — MRS. HANNAH KIM L.AC
Practice Location Address:

5643 N LINCOLN AVE
CHICAGO, IL
60659-4921

Practice Phone: 773-334-3988
Practice Fax:

1003073354 — MR. STEPHEN KIM PHARMD, LAC
Practice Location Address:

5643 N LINCOLN AVE
CHICAGO, IL
60659-4921

Practice Phone: 773-991-9552
Practice Fax:

1992215172 — ANNA FUNSTEN
Practice Location Address:

5641 N LINCOLN AVE
CHICAGO, IL
60659-4921

Practice Phone: 773-728-4784
Practice Fax:

Directions to “ MEGAN MASTERS APN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.