Provider Demographics
NPI:1538502026
Name:THOMA, MEGAN MAUREEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MAUREEN
Last Name:THOMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 N MCCLURG CT UNIT 2605
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3949
Mailing Address - Country:US
Mailing Address - Phone:248-495-1910
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 1919
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2002
Practice Address - Country:US
Practice Address - Phone:312-416-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor