Individual
JAVON GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
(773) 388-8936
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1800
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104676
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150.104676
—
IL
Enumeration date
10/19/2021
Last updated
10/19/2021
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