Provider Demographics
NPI:1598176067
Name:EGAN, MEAGHAN CLAIRE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MEAGHAN
Middle Name:CLAIRE
Last Name:EGAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:M/C 1130
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-3559
Mailing Address - Fax:773-834-0694
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:M/C 1130
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-3559
Practice Address - Fax:773-834-0694
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2014-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL041397713367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered