Healthcare Provider Details

I. General information

NPI: 1811579717
Provider Name (Legal Business Name): MEAGAN ELIZABETH NOWLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 FRANCISCAN DR
LITCHFIELD IL
62056-1778
US

IV. Provider business mailing address

600 E MAIN ST
COFFEEN IL
62017-1200
US

V. Phone/Fax

Practice location:
  • Phone: 217-324-6127
  • Fax: 217-324-5959
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01089316A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number390200000X
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: