Provider Demographics
NPI:1659527141
Name:GRISCHEAU, MEGAN AMALIA (PHARMD, BCACP)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:AMALIA
Last Name:GRISCHEAU
Suffix:
Gender:F
Credentials:PHARMD, BCACP
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:AMALIA
Other - Last Name:SZMAJDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2245 ENTERPRISE DR STE 4514
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5803
Mailing Address - Country:US
Mailing Address - Phone:708-202-4500
Mailing Address - Fax:708-202-3582
Practice Address - Street 1:2245 ENTERPRISE DR STE 4514
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5803
Practice Address - Country:US
Practice Address - Phone:708-202-4500
Practice Address - Fax:708-202-3582
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0512927821835P0018X
WI15727-401835P2201X
IL051-2927821835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist