Provider Demographics
NPI:1326271834
Name:DILLON, MEGAN HERRMANN (DPT)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:HERRMANN
Last Name:DILLON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6886 N TONTY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-1315
Mailing Address - Country:US
Mailing Address - Phone:847-533-7844
Mailing Address - Fax:
Practice Address - Street 1:6886 N TONTY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-1315
Practice Address - Country:US
Practice Address - Phone:847-533-7844
Practice Address - Fax:773-290-6617
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.017341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist