MEDICARE: BARBARA MEAGHER CNM

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	367A00000X	Advanced Practice Midwife	209-000976	IL

General Provider Information

NPI Number	:	1760636898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA MEAGHER CNM

Provider Business Mailing Address
First Line	:	18 S MICHIGAN AVE
Second Line	:	6TH FL
City	:	CHICAGO
State	:	IL
Zip	:	60603-3200
Country	:	US
Telephone Number	:	312-592-6800
Fax Number	:	312-592-6801

Provider Business Practice Location Address
First Line	:	18 S MICHIGAN AVE
Second Line	:	6TH FL
City	:	CHICAGO
State	:	IL
Zip	:	60603-3200
Country	:	US
Telephone Number	:	312-592-6800
Fax Number	:	312-592-6801

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

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	11/17/2008

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