Provider Demographics
NPI:1265602551
Name:MCCLAY, MARGARET
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:MCCLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21619 PETERSON AVE
Mailing Address - Street 2:21619 S PETERSON
Mailing Address - City:SAUK VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60411-4435
Mailing Address - Country:US
Mailing Address - Phone:312-572-4813
Mailing Address - Fax:312-572-4811
Practice Address - Street 1:2020 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3741
Practice Address - Country:US
Practice Address - Phone:312-572-4813
Practice Address - Fax:312-572-4813
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL10065101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)