Healthcare Provider Details

I. General information

NPI: 1184541799
Provider Name (Legal Business Name): AMBER LYNN MEAGHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 MARQUETTE RD
PERU IL
61354-1538
US

IV. Provider business mailing address

2218 MARQUETTE RD
PERU IL
61354-1538
US

V. Phone/Fax

Practice location:
  • Phone: 815-780-8765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: