Provider Demographics
NPI:1609117019
Name:MILANO, MARGO (LCPC, NCC, CFLE)
Entity Type:Individual
Prefix:DR
First Name:MARGO
Middle Name:
Last Name:MILANO
Suffix:
Gender:F
Credentials:LCPC, NCC, CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E LINCOLN HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-3990
Mailing Address - Country:US
Mailing Address - Phone:779-201-8006
Mailing Address - Fax:
Practice Address - Street 1:1500 E LINCOLN HWY STE 1
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-3990
Practice Address - Country:US
Practice Address - Phone:779-201-8006
Practice Address - Fax:779-256-0204
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006446101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180006446OtherILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION