Healthcare Provider Details

I. General information

NPI: 1891321188
Provider Name (Legal Business Name): MEGHAN MCKEEVER QUIRKE MSN, APRN. FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGHAN MCKEEVER

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 HACKBERRY LN
WINNETKA IL
60093-1607
US

IV. Provider business mailing address

1321 HACKBERRY LN
WINNETKA IL
60093-1607
US

V. Phone/Fax

Practice location:
  • Phone: 847-491-2135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.028185
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number041.449955
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: