Provider Demographics
NPI:1922203744
Name:MENG, ROSALYN V (RN)
Entity Type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:V
Last Name:MENG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4133 SARATOGA AVE
Mailing Address - Street 2:UNIT B111
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2064
Mailing Address - Country:US
Mailing Address - Phone:630-271-1896
Mailing Address - Fax:
Practice Address - Street 1:4133 SARATOGA AVE
Practice Address - Street 2:UNIT B111
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2064
Practice Address - Country:US
Practice Address - Phone:630-271-1896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health