Doctor Name: | MR. SERGIO GARCIA |
NPI Number: | 1053643585 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 1001 Rohlwing Rd Elk Grove Village, IL - 600073217 |
Business Phone Number: | 8475248800 |
Business Fax Number: | 8475248824 |
Mailing Address: | 1400 Newcastle Ave, WESTCHESTER |
State: | IL |
Postal Code: | 601543613 |
Phone Number: | 7086994731 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2010 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |