Provider Demographics
NPI:1093041402
Name:DRUECK, MEGAN M (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:DRUECK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:C
Other - Last Name:MCHUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:2311 W MONTROSE AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1618
Mailing Address - Country:US
Mailing Address - Phone:773-587-9178
Mailing Address - Fax:
Practice Address - Street 1:2311 W MONTROSE AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618
Practice Address - Country:US
Practice Address - Phone:773-587-9178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010551235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist