Provider Demographics
NPI:1598054975
Name:QUIGLEY, MEAGAN NICOLE
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:NICOLE
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:VILLA GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:61956-1032
Mailing Address - Country:US
Mailing Address - Phone:815-351-0369
Mailing Address - Fax:
Practice Address - Street 1:505 N DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:VILLA GROVE
Practice Address - State:IL
Practice Address - Zip Code:61956-1032
Practice Address - Country:US
Practice Address - Phone:815-351-0369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor