Healthcare Provider Details

I. General information

NPI: 1003474420
Provider Name (Legal Business Name): MEGAN A VAN HOORN APN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN VANHOORN APN-CNS

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 W FULLERTON AVE
CHICAGO IL
60647-2319
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 773-782-2800
  • Fax: 773-782-5042
Mailing address:
  • Phone: 847-982-6715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209028522
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number2465369
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number041422414
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209028522
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: