Healthcare Provider Details

I. General information

NPI: 1821807876
Provider Name (Legal Business Name): MEGAN BAILEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 SILVER CROSS BLVD STE 440
NEW LENOX IL
60451-9577
US

IV. Provider business mailing address

2727 LANCASTER DR
JOLIET IL
60433-1737
US

V. Phone/Fax

Practice location:
  • Phone: 815-900-9060
  • Fax:
Mailing address:
  • Phone: 815-531-4970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209031267
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: