Wicklund, Megan Lynn
Wicklund, Megan Lynn is an sole proprietor health care provider with primary practice located at 1440 Renaissance Dr Ste 320 , Park Ridge IL 60068-1471. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wicklund, Megan Lynn can be contacted via phone (224) 325-5258.Contact Information
Primary practice address
1440 Renaissance Dr Ste 320
Park Ridge IL 60068-1471
Phone: (224) 325-5258
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.018512 | Illinois |
Profile Details
| NPI number | 1174068738 |
|---|---|
| LBN Legal business name | Wicklund, Megan Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2017 |
| Last updated | Jan 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174068738 | NPPES |
| Illinois | MEDICAID | 474579189001 |
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