Healthcare Provider Details

I. General information

NPI: 1710320114
Provider Name (Legal Business Name): MEGAN ELIZABETH FLYNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 E TOUHY AVE STE 450
DES PLAINES IL
60018-2748
US

IV. Provider business mailing address

999 E TOUHY AVE STE 450
DES PLAINES IL
60018-2748
US

V. Phone/Fax

Practice location:
  • Phone: 630-920-2323
  • Fax:
Mailing address:
  • Phone: 630-920-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.38165
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036.153377
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: