Provider Demographics
NPI:1760831812
Name:WILSON, MARGARET MEBAGHANE (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MEBAGHANE
Last Name:WILSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 CULLODEN ST
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-4343
Mailing Address - Country:US
Mailing Address - Phone:312-388-7740
Mailing Address - Fax:
Practice Address - Street 1:3702 CULLODEN ST
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-4343
Practice Address - Country:US
Practice Address - Phone:312-388-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0161091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical