Healthcare Provider Details

I. General information

NPI: 1457073496
Provider Name (Legal Business Name): MEGHAN NICOLE CAHILL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 MIDWEST RD STE 104
OAK BROOK IL
60523-1396
US

IV. Provider business mailing address

2021 MIDWEST RD STE 104
OAK BROOK IL
60523-1396
US

V. Phone/Fax

Practice location:
  • Phone: 815-603-5058
  • Fax: 630-560-6412
Mailing address:
  • Phone: 815-603-5058
  • Fax: 630-560-6412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number071010816
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: