Healthcare Provider Details

I. General information

NPI: 1295691707
Provider Name (Legal Business Name): MONICA VEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 S FARNSWORTH AVE
AURORA IL
60505-5433
US

IV. Provider business mailing address

817 S FARNSWORTH AVE
AURORA IL
60505-5433
US

V. Phone/Fax

Practice location:
  • Phone: 630-901-1777
  • Fax:
Mailing address:
  • Phone: 630-901-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.028766
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: