Provider Demographics
NPI:1972068310
Name:MEGAN THOMA DC LLC
Entity type:Organization
Organization Name:MEGAN THOMA DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-416-0902
Mailing Address - Street 1:545 N MCCLURG CT UNIT 2605
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3949
Mailing Address - Country:US
Mailing Address - Phone:248-495-1910
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 1919
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2002
Practice Address - Country:US
Practice Address - Phone:312-416-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty