Healthcare Provider Details

I. General information

NPI: 1326954413
Provider Name (Legal Business Name): MEGHNA KUMAR
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARDINAL DR STE 280
ST CHARLES IL
60175-6598
US

IV. Provider business mailing address

300 CARDINAL DR STE 280
ST CHARLES IL
60175-6598
US

V. Phone/Fax

Practice location:
  • Phone: 847-666-5586
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.022147
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: