Mardis, Margaret
Mardis, Margaret is an sole proprietor health care provider with primary practice located at 1000 Maple Ave , Downers Grove IL 60515-4965. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mardis, Margaret can be contacted via phone (630) 515-1339.Contact Information
Primary practice address
1000 Maple Ave
Downers Grove IL 60515-4965
Phone: (630) 515-1339
Fax: (630) 515-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1942352091 |
|---|---|
| LBN Legal business name | Mardis, Margaret |
| Credentials | MS LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942352091 | NPPES |
| Illinois | Other | 01622943 | BLUE CROSS BLUE SHIELD ID |
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