Healthcare Provider Details

I. General information

NPI: 1134087018
Provider Name (Legal Business Name): MEGHAN G CARINGELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 75TH ST STE 101
AURORA IL
60504-7921
US

IV. Provider business mailing address

3909 75TH ST STE 101
AURORA IL
60504-7921
US

V. Phone/Fax

Practice location:
  • Phone: 815-676-4688
  • Fax:
Mailing address:
  • Phone: 815-676-4688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number150.108190
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: