Healthcare Provider Details

I. General information

NPI: 1366378424
Provider Name (Legal Business Name): MEAGHAN CICIORA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2948 ARTESIAN RD STE 112
NAPERVILLE IL
60564-8559
US

IV. Provider business mailing address

2948 ARTESIAN RD STE 112
NAPERVILLE IL
60564-8559
US

V. Phone/Fax

Practice location:
  • Phone: 630-328-0165
  • Fax:
Mailing address:
  • Phone: 630-328-0165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number041.428151
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: