Provider Demographics
NPI:1013023068
Name:SIHARAT, MEGAN J (MHS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:J
Last Name:SIHARAT
Suffix:
Gender:F
Credentials:MHS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 E SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3510
Mailing Address - Country:US
Mailing Address - Phone:708-334-3231
Mailing Address - Fax:708-334-3231
Practice Address - Street 1:407 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3050
Practice Address - Country:US
Practice Address - Phone:847-357-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1013023068Medicaid