Healthcare Provider Details

I. General information

NPI: 1619838265
Provider Name (Legal Business Name): MEGHAN FLOREINE O'REILLY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 RANDALL RD
GENEVA IL
60134-4200
US

IV. Provider business mailing address

304 RANDALL RD
GENEVA IL
60134-4200
US

V. Phone/Fax

Practice location:
  • Phone: 630-938-2200
  • Fax: 630-938-2205
Mailing address:
  • Phone: 630-938-2200
  • Fax: 630-938-2205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209033682
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.033682
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: