Megan Mazak Adams
Individual provider Active NPI Internal Medicine Physician · Evanston, IL
NPI 1245033414 · NPPES record last updated Jun 15, 2025
Key facts
- NPI
- 1245033414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.086692 (IL)
- Practice address
- 2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700 - Phone
- (847) 570-2700
- Fax
- (847) 570-2822
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250721001883 | IL | Order and Referring Only - Internal Medicine |
4284140914 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.086692 | IL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.086692 | IL | Yes |
Addresses
Primary practice location
2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150
Other providers in Evanston, IL
- Adam & Associates Psychotherapy Services, Inc.
- Jehan-Marie Adamji
- Adrienne L. Adams
- Cherie Monique Adams
- Mary Abby Adams
- Shayne Adams
- Laura Kathleen Addy
- Modupe Olayinka Adefeso
- Adele Maday Physical Therapy
- Vanessa Obenewa Adu
All providers in Evanston, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.