Provider Demographics
NPI:1376274423
Name:CALDWELL, MARGARET JULIA
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JULIA
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2057 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-6758
Mailing Address - Country:US
Mailing Address - Phone:224-430-8332
Mailing Address - Fax:
Practice Address - Street 1:1161 MCHENRY RD STE 201
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1373
Practice Address - Country:US
Practice Address - Phone:847-383-5589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist