1831101716 NPI number — MS. MARGARET CATHERINE LYNCH MSW

Table of content: MS. MARGARET CATHERINE LYNCH MSW (NPI 1831101716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831101716 NPI number — MS. MARGARET CATHERINE LYNCH MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LYNCH
Provider First Name:
MARGARET
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
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:
1831101716
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1119 N HARVEY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60302-1139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-848-9616
Provider Business Mailing Address Fax Number:
708-848-6246

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 E WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 2801
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60602-2103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-372-3213
Provider Business Practice Location Address Fax Number:
312-372-4822
Provider Enumeration Date:
08/12/2006

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: 1041C0700X , 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)





Copyright © 2007-2024 www.npivalidator.com