Provider Demographics
NPI:1477621555
Name:MILLS, MEGAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N SHERIDAN RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6183
Mailing Address - Country:US
Mailing Address - Phone:773-331-7690
Mailing Address - Fax:
Practice Address - Street 1:2800 N SHERIDAN RD STE 108
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6183
Practice Address - Country:US
Practice Address - Phone:773-331-7690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005789103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634734OtherBCBS OF IL PROVIDER NO
IL210280Medicare PIN