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General NPI Number Information
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NPI Number | 1821807876
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Entity Type | Individual
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Provider Name | MEGAN BAILEY NP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1890 SILVER CROSS BLVD STE 440
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City | NEW LENOX
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State | IL
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Zip | 60451-9577
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Country | US
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Telephone | 815-900-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 LANCASTER DR
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City | JOLIET
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State | IL
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Zip | 60433-1737
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Country | US
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Telephone | 815-531-4970
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209031267
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License Number State | IL
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