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NPI Code Detail

MEDICARE: MRS. MEGAN ANN DANIELS L.AC

MEDICARE:  MRS. MEGAN ANN DANIELS  L.AC
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
1171100000XAcupuncturist198001139IL

General Provider Information

NPI Number : 1528747052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN ANN DANIELS L.AC
Provider Business Mailing Address
First Line : 4539 DOUGLAS RD
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-3026
Country : US
Telephone Number : 847-309-3503
Fax Number :
Provider Business Practice Location Address
First Line : 700 E OGDEN AVE STE 304
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5554
Country : US
Telephone Number : 847-309-3503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2023
Last Update Date : 07/12/2023

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Directions to “ MRS. MEGAN ANN DANIELS L.AC” Practice Location

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