| Doctor Name: | MEGAN MARY DUSAK |
| NPI Number: | 1043442544 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | 085.003535 |
| Business Practice Address: | 1 Ingalls Dr Harvey, IL - 604263558 |
| Business Phone Number: | 7083332300 |
| Business Fax Number: | |
| Mailing Address: | 1449 N Ashland Ave, Unit 2r CHICAGO |
| State: | IL |
| Postal Code: | 606222269 |
| Phone Number: | 7735755756 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2009 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085.003535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |