Healthcare Provider Details

I. General information

NPI: 1851171490
Provider Name (Legal Business Name): MEGAN BREIER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 10/02/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 GREEN BAY RD
NORTH CHICAGO IL
60064-3048
US

IV. Provider business mailing address

321 W HAPPFIELD DR APT 102
ARLINGTON HEIGHTS IL
60004-7106
US

V. Phone/Fax

Practice location:
  • Phone: 224-610-4369
  • Fax:
Mailing address:
  • Phone: 815-641-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051305876
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: