Hennelly, Meghann

Hennelly, Meghann is an sole proprietor health care provider with primary practice located at 966 W 21St St , Chicago IL 60608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Hennelly, Meghann can be contacted via phone (773) 254-1400.

Contact Information

Primary practice address
966 W 21St St Chicago IL 60608
Phone: (773) 254-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 60-267357 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036135834 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036135834 Illinois

Profile Details

NPI number 1881869733
LBN Legal business name Hennelly, Meghann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Jan 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881869733 NPPES
Illinois MEDICAID 036135834

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