Healthcare Provider Details

I. General information

NPI: 1255247094
Provider Name (Legal Business Name): MEAGAN NADONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2793 ROSEHALL LN
AURORA IL
60503-5688
US

IV. Provider business mailing address

2793 ROSEHALL LN
AURORA IL
60503-5688
US

V. Phone/Fax

Practice location:
  • Phone: 630-346-9408
  • Fax:
Mailing address:
  • Phone: 630-346-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041455436
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: