Provider Demographics
NPI:1093955924
Name:MCFADZEAN, MEREDITH W (PA)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:W
Last Name:MCFADZEAN
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:115 E FIRST ST
Mailing Address - Street 2:2W
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4254
Mailing Address - Country:US
Mailing Address - Phone:630-734-0580
Mailing Address - Fax:630-734-0581
Practice Address - Street 1:115 E FIRST ST
Practice Address - Street 2:2W
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4254
Practice Address - Country:US
Practice Address - Phone:630-734-0580
Practice Address - Fax:630-734-0581
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL085.003383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant