Healthcare Provider Details

I. General information

NPI: 1700751773
Provider Name (Legal Business Name): MARGARET BICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 N LINCOLN AVE
CHICAGO IL
60613-2417
US

IV. Provider business mailing address

2252 W LOGAN BLVD
CHICAGO IL
60647-2115
US

V. Phone/Fax

Practice location:
  • Phone: 312-380-5344
  • Fax:
Mailing address:
  • Phone: 847-770-2628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: