Provider Demographics
NPI:1366246803
Name:MARGULIS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MARGULIS
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 1:2120 N LINCOLN PARK W APT 5
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4642
Mailing Address - Country:US
Mailing Address - Phone:312-618-6999
Mailing Address - Fax:
Practice Address - Street 1:3166 N LINCOLN AVE STE 425
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3120
Practice Address - Country:US
Practice Address - Phone:773-998-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT4195106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist