MEDICARE: NANCY GARCIA CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	209032542	IL

General Provider Information

NPI Number	:	1841076247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY GARCIA CRNA

Provider Business Mailing Address
First Line	:	4349 W THOMAS ST APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4349 W THOMAS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3405
Country	:	US
Telephone Number	:	773-910-0794
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	08/26/2025

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