Individual provider Active NPI

Ann Megna, LC.P.C.

  • Ph.D. Medical Genetics
  • Lisle, IL
National Provider Identifier
1992881825
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Practice address
1025 Ogden Ave
Suite 200
Lisle, IL 60532-4388
Phone
(630) 975-4636
Fax
(630) 357-5663
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X IL Primary

Addresses

Primary practice location

1025 Ogden Ave
Suite 200
Lisle, IL 60532-4388

Mailing address

1128 Candlenut Dr
Naperville, IL 60540-4174
Phone (630) 975-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180-004163ILMDPh.D. Medical Genetics

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1992881825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 CANDLENUT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404174",
            "telephone_number": "630-975-4636",
            "fax_number": "630-357-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 OGDEN AVE",
            "address_2": "SUITE 200",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324388",
            "telephone_number": "630-975-4636",
            "fax_number": "630-357-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGNA",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "LC.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.