Provider Demographics
NPI:1760053714
Name:MCGONEGAL, MARGARET R (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:MCGONEGAL
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE STE 1203
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3095
Mailing Address - Country:US
Mailing Address - Phone:312-513-3746
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 1203
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3095
Practice Address - Country:US
Practice Address - Phone:312-513-3746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012351101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional