Provider Demographics
NPI:1881121796
Name:CHAPMAN, MEGAN LYNN (AMFT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 N PINE GROVE AVE APT 49
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6814
Mailing Address - Country:US
Mailing Address - Phone:773-571-6484
Mailing Address - Fax:
Practice Address - Street 1:3175 N PINE GROVE AVE APT 49
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6814
Practice Address - Country:US
Practice Address - Phone:773-571-6484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist