Provider Demographics
NPI:1689173015
Name:MONTE, MEGHAN (RD, LDN)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MONTE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:SHANAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:24W500 MAPLE AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6057
Mailing Address - Country:US
Mailing Address - Phone:630-474-5321
Mailing Address - Fax:630-487-5267
Practice Address - Street 1:24W500 MAPLE AVE STE 214
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6057
Practice Address - Country:US
Practice Address - Phone:630-474-5321
Practice Address - Fax:630-487-5267
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.006898133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered