Provider Demographics
NPI:1427136738
Name:NAGIB, MARGARET A (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:NAGIB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 W WESLEY ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4926
Mailing Address - Country:US
Mailing Address - Phone:630-709-6399
Mailing Address - Fax:
Practice Address - Street 1:422 W WESLEY ST
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4926
Practice Address - Country:US
Practice Address - Phone:630-709-6399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006403103T00000X
IL071.006403103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist