EILIS M FAGAN

CHICAGO, IL
NPI1659918571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.023436)
Additional Taxonomies104100000X Social Worker
(Licence: IL  150104048)
Enumeration Date2019-12-10
Last Update Date2023-06-09
Business Address
EILIS M FAGAN LCSW
5646 N WAYNE AVE APT 3
CHICAGO, IL 60660-0090
Phone number: 708-408-4003
Mailing Address
EILIS M FAGAN LCSW
5646 N WAYNE AVE APT 3
CHICAGO, IL 60660-0090
Phone number: 708-408-4003