Mcgough, Alexis

Mcgough, Alexis is an sole proprietor health care provider with primary practice located at 200 N Fairway Dr Ste 208 , Vernon Hills IL 60061-1803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcgough, Alexis can be contacted via phone (847) 996-6666.

Contact Information

Primary practice address
200 N Fairway Dr Ste 208 Vernon Hills IL 60061-1803
Phone: (847) 996-6666
Fax: (847) 996-6665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1800534-TRNE Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1803056 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.109325 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.027486 Illinois

Profile Details

NPI number 1083199186
LBN Legal business name Mcgough, Alexis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2018
Last updated Aug 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083199186 NPPES
Ohio MEDICAID 1083199186

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