Provider Demographics
NPI:1306032883
Name:MCCATTY, MEGAN GALLAGHER (APN, CNP)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:GALLAGHER
Last Name:MCCATTY
Suffix:
Gender:F
Credentials:APN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1388
Mailing Address - Country:US
Mailing Address - Phone:630-322-9126
Mailing Address - Fax:630-322-9128
Practice Address - Street 1:2001 BUTTERFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1388
Practice Address - Country:US
Practice Address - Phone:630-322-9126
Practice Address - Fax:630-322-9128
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209006562363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
R02167Medicare PIN