Provider Demographics
NPI:1609173491
Name:MAGGIO, FRANCIS ANTHONY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:ANTHONY
Last Name:MAGGIO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 S HUMPHREY AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1716
Mailing Address - Country:US
Mailing Address - Phone:708-386-6881
Mailing Address - Fax:
Practice Address - Street 1:125 E LAKE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1179
Practice Address - Country:US
Practice Address - Phone:708-204-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490045521041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool