Provider Demographics
NPI:1043516388
Name:PEREZ, MARGARITA LOPEZ (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:LOPEZ
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:MARGARITA
Other - Middle Name:LOPEZ
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6918 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402
Mailing Address - Country:US
Mailing Address - Phone:708-745-5277
Mailing Address - Fax:708-795-4834
Practice Address - Street 1:6918 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3334
Practice Address - Country:US
Practice Address - Phone:708-745-5277
Practice Address - Fax:708-795-4834
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker