Healthcare Provider Details

I. General information

NPI: 1558249144
Provider Name (Legal Business Name): VERONICA AGUILAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 SUMMIT ST # 84
ELGIN IL
60120-4316
US

IV. Provider business mailing address

PO BOX 746715
ATLANTA GA
30374-6715
US

V. Phone/Fax

Practice location:
  • Phone: 847-350-1861
  • Fax:
Mailing address:
  • Phone: 847-306-7093
  • Fax: 847-739-0972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149029912
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149029912
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: