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NPI Code Detail

MEDICARE: MEGHAN ELIZABETH FALOONA ATC

MEDICARE: MEGHAN ELIZABETH FALOONA ATC
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
1390200000XStudent in an Organized Health Care Education/Training Program
2225100000XPhysical Therapist096004174IL
32255A2300XAthletic Trainer096.004174IL

General Provider Information

NPI Number : 1326439902
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN ELIZABETH FALOONA ATC
Provider Business Mailing Address
First Line : 1 UNIVERSITY PKWY
Second Line :
City : UNIVERSITY PARK
State : IL
Zip : 60484-3165
Country : US
Telephone Number : 708-534-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY PKWY
Second Line :
City : UNIVERSITY PARK
State : IL
Zip : 60484-3165
Country : US
Telephone Number : 708-534-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2015
Last Update Date : 08/19/2019

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Directions to “ MEGHAN ELIZABETH FALOONA ATC” Practice Location

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