Organization
MARGARET S WARNER PHD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMNEY ALLANE PAYNE (SECRETRY/TREASURER)
(312) 720-6362
Entity
Organization
Contact information
Practice address
5712 S DORCHESTER AVE, UNIT 1, CHICAGO, IL 60637-1727
(773) 643-8548
Mailing address
5712 S DORCHESTER AVE, UNIT 1, CHICAGO, IL 60637-1727
(312) 720-6362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002625
IL
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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