Provider Demographics
NPI:1316298102
Name:LUECK, MEGHAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:LUECK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:O'NEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1652 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-5602
Mailing Address - Country:US
Mailing Address - Phone:630-385-3201
Mailing Address - Fax:
Practice Address - Street 1:1652 BEECHER RD
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-5602
Practice Address - Country:US
Practice Address - Phone:630-385-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051296135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist