Provider Demographics
NPI:1851635585
Name:HALL, MEGAN JOYE
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOYE
Last Name:HALL
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 1:1647 W FARWELL AVE
Mailing Address - Street 2:C-1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-3627
Mailing Address - Country:US
Mailing Address - Phone:847-648-2229
Mailing Address - Fax:
Practice Address - Street 1:1647 W FARWELL AVE
Practice Address - Street 2:C-1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-3627
Practice Address - Country:US
Practice Address - Phone:847-648-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula