Provider Demographics
NPI:1093195174
Name:MARGARET E GREENGARD
Entity Type:Organization
Organization Name:MARGARET E GREENGARD
Other - Org Name:MEG CHILDRESS LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THEREAPIST / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:GREENGARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-634-2075
Mailing Address - Street 1:240 E OAK ST
Mailing Address - Street 2:VILLA PARK
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-2229
Mailing Address - Country:US
Mailing Address - Phone:630-634-2075
Mailing Address - Fax:
Practice Address - Street 1:1105 CURTISS ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4694
Practice Address - Country:US
Practice Address - Phone:630-634-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.016307251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health