Individual provider · Type 1 NPI

Michael McDonald Egan, CNP

Family Nurse Practitioner · Hines, IL

NPI number 1508957788 Active

Practice location

5th Ave And Roosevelt Road
Hines, IL 60141-5000

Mailing address

901 N Humphrey Ave
Oak Park, IL 60302-1445

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041-295140 (IL)
Family Nurse Practitioner Primary 363LF0000X209-001343 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1508957788

Michael McDonald Egan, CNP's National Provider Identifier is 1508957788, issued on Sep 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hines, IL. The record was last updated on Apr 12, 2013.