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NPI Code Detail

MEDICARE: MEGAN KELLY

MEDICARE: MEGAN KELLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306519400
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KELLY
Provider Business Mailing Address
First Line : 21 S EVERGREEN AVE STE 200-123
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-7800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 ROHLWING RD
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3217
Country : US
Telephone Number : 224-319-5604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2021
Last Update Date : 06/19/2026

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Directions to “ MEGAN KELLY ” Practice Location

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