Provider Demographics
NPI:1114677317
Name:BYRNE, MEGAN ELIZABETH (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:BYRNE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5247 N LIANO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-1419
Mailing Address - Country:US
Mailing Address - Phone:773-992-8889
Mailing Address - Fax:
Practice Address - Street 1:1642 E BARBERRY LN
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1512
Practice Address - Country:US
Practice Address - Phone:312-650-5522
Practice Address - Fax:312-878-7112
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056014798225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist