Provider Demographics
NPI:1194281717
Name:O'MEARA, MARGARET (MA LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:O'MEARA
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8334 W 140TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2322
Mailing Address - Country:US
Mailing Address - Phone:708-990-5033
Mailing Address - Fax:
Practice Address - Street 1:1S132 SUMMIT AVE STE 305A
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3942
Practice Address - Country:US
Practice Address - Phone:888-234-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional