Healthcare Provider Details

I. General information

NPI: 1801713805
Provider Name (Legal Business Name): EVA ANGELICA GARCIA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 W GRAND AVE STE 101F
FOX LAKE IL
60020-1224
US

IV. Provider business mailing address

52 ELM AVE APT A
CARPENTERSVILLE IL
60110-1786
US

V. Phone/Fax

Practice location:
  • Phone: 847-322-2975
  • Fax:
Mailing address:
  • Phone: 224-508-8734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.117433
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: