=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619674538
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARGRET FRANCES O'REILLY PSY.D., LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2023
-----------------------------------------------------
Last Update Date | 02/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 N MCCLURG CT APT 3803A
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-3030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-254-1499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 N MCCLURG CT APT 3803A
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-3030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-254-1499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MARGRET O'REILLY
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 708-254-1499
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------