MEGHAN MCMILLIN


Address: 4002 Crestwood Dr, Northbrook, IL 60062-7543
Phone: 3123152003

MEGHAN MCMILLIN (NPI# 1922473909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922473909
Entity Type Individual
Full Name MEGHAN MCMILLIN
Credential MS, RDN, LDN
Practice Address 4002 Crestwood Dr
Northbrook
IL 60062-7543
Practice Telephone 3123152003
Mailing Telephone 3123152003
Enumeration Date 2015-12-02
Last Update Date 2020-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 164005934 IL Dietary & Nutritional Service Providers
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
164005934 IL Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2650 Ridge Ave, Evanston, IL 602011718 8475701986

Office Location

Street Address 4002 CRESTWOOD DR
City NORTHBROOK
State IL
Zip Code 60062-7543

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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598238941 Beth Helmold Dietitian, Registered 111 N 5th Ave, Morton, IL 61550-2103 2019-01-08
1831665405 Grazyna Gawedzki Dietitian, Registered 829 Austin Ave, Park Ridge, IL 60068-2682 2018-10-22
1215446463 Sarah Berglind Dietitian, Registered 7640 W Coach Rd, Palos Heights, IL 60463-1244 2017-09-20
1043757149 Amanda Salley Dietitian, Registered 1900 Sycamore Rd, Homewood, IL 60430-2323 2017-01-26
1932641750 Tara Todd Dietitian, Registered 3312 Forest Hill School Rd, Millstadt, IL 62260-3116 2016-11-10
1639553142 Bianca Roe Dietitian, Registered 2630 W Bradley Pl Ste A, Chicago, IL 60618-4704 2015-07-14
1144620261 Julie Ann Mota Dietitian, Registered 728 S Madison Ave, La Grange, IL 60525-2805 2014-08-26
1902205370 Kathleen Sheldon Dietitian, Registered 5332 Woodland Ave, Western Springs, IL 60558-1854 2014-08-21
1487925996 Amanda Nelson Dietitian, Registered 2814 Miller Rd, Geneva, IL 60134-3996 2012-01-16
1790090033 Diane Martinez Dadivas Dietitian, Registered 8439 N Clifton Ave, Niles, IL 60714-1803 2010-08-11
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Competitor

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City NORTHBROOK
Zip Code 60062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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