Provider Demographics
NPI:1528868320
Name:HAQUE, MEGAN (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HAQUE
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1805 SOUTHAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2566
Mailing Address - Country:US
Mailing Address - Phone:630-621-6163
Mailing Address - Fax:
Practice Address - Street 1:312 E FOREST AVE
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-3528
Practice Address - Country:US
Practice Address - Phone:630-293-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.007980235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist