Individual provider · NPI-1

Megan Abo

Physician Assistant · Chicago, IL

NPI number1306242318
StatusActive
Last updated in NPPESOct 24, 2022

Details

NPI
1306242318
Entity type
Individual (NPI-1)
Name
Megan Abo
Sex
Female
Sole proprietor
No
Enumeration date
Nov 18, 2014
Last updated
Oct 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085006090ILYes

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Phone 888-824-0200

Mailing address

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919

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