Organization
DR MARGOT GAY MAHAN & ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGOT GAY MAHAN PSYD (PRESIDENT)
(312) 719-1360
Entity
Organization
Contact information
Practice address
1555 NAPERVILLE WHEATON RD, SUITE 115, NAPERVILLE, IL 60563-1557
(312) 719-1360
(773) 751-2250
Mailing address
1555 NAPERVILLE WHEATON RD, SUITE 115, NAPERVILLE, IL 60563-1557
(312) 719-1360
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4098289017
BC/BS
IL
Enumeration date
08/11/2010
Last updated
08/11/2010
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