Provider Demographics
NPI:1043538556
Name:DEWILKINS, MARGARET DONNA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:DONNA
Last Name:DEWILKINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 BOB-0-LINK ROAD
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4124
Mailing Address - Country:US
Mailing Address - Phone:708-675-3448
Mailing Address - Fax:708-675-3448
Practice Address - Street 1:8302 BOB-0-LINK ROAD
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4124
Practice Address - Country:US
Practice Address - Phone:708-675-3448
Practice Address - Fax:708-675-3448
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health