Provider Demographics
NPI:1841073285
Name:STANLEY, MARGARET BERLIN (APRN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:BERLIN
Last Name:STANLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11241 SYCAMORE LN UNIT A
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-2576
Mailing Address - Country:US
Mailing Address - Phone:708-705-7766
Mailing Address - Fax:708-202-4766
Practice Address - Street 1:5000 SOUTH 5TH AVENUE
Practice Address - Street 2:BLDG 228, 4 SOUTH, ROOM 4044
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-5589
Practice Address - Fax:708-202-4766
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209.0028002084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine