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NPI Code Detail

MEDICARE: DR. MEGAN KATHLEEN OLIVERIO PSY.D.

MEDICARE: DR. MEGAN KATHLEEN OLIVERIO PSY.D.
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
1103TC0700XClinical Psychologist071.010034IL

General Provider Information

NPI Number : 1356907042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN KATHLEEN OLIVERIO PSY.D.
Provider Business Mailing Address
First Line : 1200 HARGER RD STE 600
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1820
Country : US
Telephone Number : 630-571-5750
Fax Number : 630-571-5751
Provider Business Practice Location Address
First Line : 1200 HARGER RD STE 600
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1820
Country : US
Telephone Number : 630-571-5750
Fax Number : 630-571-5751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2019
Last Update Date : 05/17/2019

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