Provider Demographics
NPI:1295358851
Name:LEE, MARGARET MACKENZIE (MS CCC-SLP/L)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:MACKENZIE
Last Name:LEE
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 NEVERMIND DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-1531
Mailing Address - Country:US
Mailing Address - Phone:217-971-4246
Mailing Address - Fax:
Practice Address - Street 1:96 NEVERMIND DR
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:IL
Practice Address - Zip Code:62629-1531
Practice Address - Country:US
Practice Address - Phone:217-971-4246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.005744235Z00000X
IL146.015916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist