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General NPI Number Information
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NPI Number | 1093195174
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Entity Type | Organization
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Legal Business Name | MEG CHILDRESS, LCSW
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 4910 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-3611
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Country | US
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Telephone | 630-634-2075
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E OAK ST VILLA PARK
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City | VILLA PARK
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State | IL
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Zip | 60181-2229
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Country | US
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Telephone | 630-634-2075
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST / OWNER
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Name | MARGARET GREENGARD CHILDRESS
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Credential | LCSW
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Telephone | 630-634-2075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 149.016307
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License Number State | IL
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