SearchIllinois363A00000X

Alan Meredith, PAC

NPI 1053656298 · on the registry since 2012

Practice

Address
1551 N Il Rt 3
Waterloo, IL 62298
Phone
(618) 504-5008
Fax
(618) 504-5009

Additional practice sites

  • 2704 N Center St, Maryville, IL
  • 6812 State Route 162, Maryville, IL
  • 801 Hazelwest Dr, Hazelwood, MO

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois