1427401355 NPI number — MARTA MAGDALENA MCGUINNESS LCPC, CADC

Table of content: MARTA MAGDALENA MCGUINNESS LCPC, CADC (NPI 1427401355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427401355 NPI number — MARTA MAGDALENA MCGUINNESS LCPC, CADC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGUINNESS
Provider First Name:
MARTA
Provider Middle Name:
MAGDALENA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCPC, CADC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427401355
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/05/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2010 E ALGONQUIN RD STE 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCHAUMBURG
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60173-4168
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-359-5192
Provider Business Mailing Address Fax Number:
847-701-0350

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2010 E ALGONQUIN RD
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
SCHAUMBURG
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60173-4185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-359-5192
Provider Business Practice Location Address Fax Number:
847-701-0350
Provider Enumeration Date:
07/15/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  180011856 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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