Provider Demographics
NPI:1003474420
Name:VAN HOORN, MEGAN A (APN-CNS)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:A
Last Name:VAN HOORN
Suffix:
Gender:F
Credentials:APN-CNS
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:VANHOORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN-CNS
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-982-6715
Mailing Address - Fax:
Practice Address - Street 1:800 W CENTRAL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2349
Practice Address - Country:US
Practice Address - Phone:847-618-3960
Practice Address - Fax:847-618-3969
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041422414163WP0200X
MN2465369163WP0200X
IL209028522363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0200XNursing Service ProvidersRegistered NursePediatrics