Individual
MARGARET PRIMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2160 SO. FIRST AVENUE, FAHEY BLDG., ROOM 213, MAYWOOD, IL 60153
(708) 216-2220
(708) 216-6840
Mailing address
2160 SO. FIRST AVENUE, FAHEY BLDG., ROOM 213, MAYWOOD, IL 60153
(708) 216-2220
(708) 216-6840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
71003501
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71003501
—
IL
Enumeration date
02/24/2006
Last updated
11/01/2010
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