1568728285 NPI number — MS. MEGHAN MCCREARY SCILEPPI LPC

Table of content: MS. MEGHAN MCCREARY SCILEPPI LPC (NPI 1568728285)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568728285 NPI number — MS. MEGHAN MCCREARY SCILEPPI LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCILEPPI
Provider First Name:
MEGHAN
Provider Middle Name:
MCCREARY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MILLER
Provider Other First Name:
MEGHAN
Provider Other Middle Name:
MCCREARY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1568728285
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1580 S MILWAUKEE AVE
Provider Second Line Business Mailing Address:
SUITE 307
Provider Business Mailing Address City Name:
LIBERTYVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60048-3764
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-436-1833
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6423 N GREENVIEW AVE
Provider Second Line Business Practice Location Address:
UNIT 3W
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60626-5013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-436-1833
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  178007920 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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