Provider Demographics
NPI:1407333016
Name:DIX, MARGARET ELIZABETH (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:DIX
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:ELIZABETH
Other - Last Name:DIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:725 HANBURY DR
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1567
Mailing Address - Country:US
Mailing Address - Phone:510-672-5786
Mailing Address - Fax:
Practice Address - Street 1:600 SPRING HILL RING RD STE 115
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-7301
Practice Address - Country:US
Practice Address - Phone:510-672-5786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.102726104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker