Provider Demographics
NPI:1992881825
Name:MEGNA, ANN (LCPC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:MEGNA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1128 CANDLENUT DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4174
Mailing Address - Country:US
Mailing Address - Phone:630-975-4636
Mailing Address - Fax:630-357-4636
Practice Address - Street 1:1025 OGDEN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-4388
Practice Address - Country:US
Practice Address - Phone:630-975-4636
Practice Address - Fax:630-357-5663
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics