Provider Demographics
NPI:1235612383
Name:TRESS, MEGAN CAIRNS (APN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CAIRNS
Last Name:TRESS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 N MOBILE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4041
Mailing Address - Country:US
Mailing Address - Phone:773-622-5679
Mailing Address - Fax:773-622-5814
Practice Address - Street 1:3030 N MOBILE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4041
Practice Address - Country:US
Practice Address - Phone:773-622-5679
Practice Address - Fax:773-622-5814
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.018035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily