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NPI Code Detail

MEDICARE: MEGAN MCLUCKIE NP

MEDICARE: MEGAN MCLUCKIE NP
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
1363LP2300XPrimary Care Nurse Practitioner209.021155IL

General Provider Information

NPI Number : 1538873864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MCLUCKIE NP
Provider Business Mailing Address
First Line : 74 OLD HART RD
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-2646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 W HIGGINS RD STE 1040
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-2049
Country : US
Telephone Number : 847-884-8096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2023
Last Update Date : 04/07/2023

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