Healthcare Provider Details

I. General information

NPI: 1073400701
Provider Name (Legal Business Name): LEGAL NP CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 CADILLAC CT STE 6
BELVIDERE IL
61008-1733
US

IV. Provider business mailing address

205 CADILLAC CT STE 6
BELVIDERE IL
61008-1733
US

V. Phone/Fax

Practice location:
  • Phone: 815-494-8459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MEGAN JOHNSON
Title or Position: OWNER
Credential:
Phone: 815-494-8459