Healthcare Provider Details

I. General information

NPI: 1598285710
Provider Name (Legal Business Name): MEAGAN SPASARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 W GRAND AVE STE 101
FOX LAKE IL
60020-1224
US

IV. Provider business mailing address

717 KRISTY LN
WHEELING IL
60090-5595
US

V. Phone/Fax

Practice location:
  • Phone: 847-322-2975
  • Fax:
Mailing address:
  • Phone: 224-688-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: