MEDICARE: DR. JOAN MEYER M.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
1	208000000X	Pediatrics Physician	036035822	IL

General Provider Information

NPI Number	:	1588094072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN MEYER M.D.

Provider Business Mailing Address
First Line	:	623 N HIGHLAND AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-5513
Country	:	US
Telephone Number	:	847-606-1461
Fax Number	:

Provider Business Practice Location Address
First Line	:	623 N HIGHLAND AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-5513
Country	:	US
Telephone Number	:	847-606-1461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2013
Last Update Date	:	11/19/2013

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