Search › Illinois › 1041C0700X
Eilis Fagan, LCSW
NPI 1659918571 · on the registry since 2019
Practice
- Address
- 5646 N Wayne Ave Apt 3
Chicago, IL 60660 - Phone
- (708) 408-4003
- Organisation at this address
- Eilis M. Fagan, Lcsw Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois