Provider Demographics
NPI:1780846626
Name:EIFRIG, MEG (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MEG
Middle Name:
Last Name:EIFRIG
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:GEAIR
Other - Last Name:EIFRIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:1010 JORIE BLVD STE 364
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-3000
Mailing Address - Country:US
Mailing Address - Phone:773-558-9380
Mailing Address - Fax:
Practice Address - Street 1:1010 JORIE BLVD STE 364
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3000
Practice Address - Country:US
Practice Address - Phone:773-558-9380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
180010134101Y00000X
101YM0800X
IL180010134101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health