Provider Demographics
NPI:1134569080
Name:MCHUGH, MEGAN K (RDH)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 GLENWOOD DR
Mailing Address - Street 2:APT. 308
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-3235
Mailing Address - Country:US
Mailing Address - Phone:630-418-6848
Mailing Address - Fax:
Practice Address - Street 1:314 GLENWOOD DR
Practice Address - Street 2:APT. 308
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-3235
Practice Address - Country:US
Practice Address - Phone:630-418-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL020012565124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist