Provider Demographics
NPI:1871938274
Name:LEMIRE, MARGARET W
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:W
Last Name:LEMIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N. MICHIGAN AVE.
Mailing Address - Street 2:SUITE 1808
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-368-0050
Mailing Address - Fax:312-263-2947
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:SUITE 1808
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:312-368-0050
Practice Address - Fax:312-263-2947
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180003452101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health