Provider Demographics
NPI:1952193674
Name:JURGEL, MEGAN (RDN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:JURGEL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8106 MARION DR APT 1E
Mailing Address - Street 2:
Mailing Address - City:JUSTICE
Mailing Address - State:IL
Mailing Address - Zip Code:60458-1659
Mailing Address - Country:US
Mailing Address - Phone:708-374-0048
Mailing Address - Fax:
Practice Address - Street 1:8106 MARION DR APT 1E
Practice Address - Street 2:
Practice Address - City:JUSTICE
Practice Address - State:IL
Practice Address - Zip Code:60458-1659
Practice Address - Country:US
Practice Address - Phone:708-374-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered