Provider Demographics
NPI:1386113884
Name:HARAZIN, MEGHAN E
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:E
Last Name:HARAZIN
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 1:2721 CAVALCADE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-4616
Mailing Address - Country:US
Mailing Address - Phone:630-362-9888
Mailing Address - Fax:
Practice Address - Street 1:2721 CAVALCADE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-4616
Practice Address - Country:US
Practice Address - Phone:630-362-9888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist