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NPI 1699179960

NPI 1699179960 : MARGARET MARY MCGANN LCPC, MSRN : OAK LAWN, IL

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General NPI Number Information
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    NPI Number           |    1699179960
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET MARY MCGANN LCPC, MSRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/15/2014
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    Last Update Date     |    05/14/2015
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Provider Practice Location Address
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    Address Line         |    10424 S 51ST CT 
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    City                 |    OAK LAWN
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    State                |    IL
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    Zip                  |    60453-4623
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    Country              |    US
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    Telephone            |    708-522-5240
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10424 S 51ST CT 
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    City                 |    OAK LAWN
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    State                |    IL
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    Zip                  |    60453-4623
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    Country              |    US
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    Telephone            |    708-522-5240
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    178008578
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    041163326
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    180009682
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    License Number State |    IL
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