| Dr Margot Gay Mahan & Assoc Pc | |
|
1555 Naperville Wheaton Rd Suite 115 Naperville IL 60563-1557 | |
| (312) 719-1360 | |
| (773) 751-2250 |
| Full Name | Dr Margot Gay Mahan & Assoc Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1555 Naperville Wheaton Rd, Naperville, Illinois |
| Authorized Official Name and Position | Margot Gay Mahan (PRESIDENT) |
| Authorized Official Contact | 3127191360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Margot Gay Mahan & Assoc Pc 1555 Naperville Wheaton Rd Suite 115 Naperville IL 60563-1557 Ph: (312) 719-1360 | Dr Margot Gay Mahan & Assoc Pc 1555 Naperville Wheaton Rd Suite 115 Naperville IL 60563-1557 Ph: (312) 719-1360 |
| NPI Number | 1083929327 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
| Medicare PECOS PAC ID | 5799978110 |
|---|---|
| Medicare Enrollment ID | O20101019000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083929327 | NPI | - | NPPES |
| 4098289017 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006277 (Illinois) | Primary |
| Provider Name | Margot Gay Mahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669568077 PECOS PAC ID: 9032302468 Enrollment ID: I20101019000410 |
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