Healthcare Provider Details

I. General information

NPI: 1457581373
Provider Name (Legal Business Name): ELSA GRACE GARZA APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 PATRIOT BLVD
GLENVIEW IL
60026-8039
US

IV. Provider business mailing address

2701 PATRIOT BLVD
GLENVIEW IL
60026-8039
US

V. Phone/Fax

Practice location:
  • Phone: 847-534-3278
  • Fax: 847-998-9720
Mailing address:
  • Phone: 847-534-3278
  • Fax: 847-998-9720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209008001
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: