Healthcare Provider Details

I. General information

NPI: 1972738805
Provider Name (Legal Business Name): MEGHAN MORROW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 WILLOW SPRINGS RD STE 430
LA GRANGE HIGHLANDS IL
60525-6538
US

IV. Provider business mailing address

5201 WILLOW SPRINGS RD STE 430
LA GRANGE HIGHLANDS IL
60525-6538
US

V. Phone/Fax

Practice location:
  • Phone: 708-482-3213
  • Fax:
Mailing address:
  • Phone: 708-482-3255
  • Fax: 708-482-3230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number036134981
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: