| Doctor Name: | MRS. MEGAN A. BALLANTINE |
| NPI Number: | 1205865656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC/SLP |
| License Number: | |
| Business Practice Address: | 3001 Green Bay Rd Audiology/speech Pathology Mail Code #126 North Chicago, IL - 600643048 |
| Business Phone Number: | 8476881900 |
| Business Fax Number: | |
| Mailing Address: | 760 Manitou St, CARY |
| State: | IL |
| Postal Code: | 600131927 |
| Phone Number: | 8475163406 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |