Provider Demographics
NPI:1164524195
Name:GARCIA, ELIZABETH (CNM)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 BIESTERFIELD RD
Mailing Address - Street 2:SUITE 306 - WIMMER BUILDING
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3378
Mailing Address - Country:US
Mailing Address - Phone:847-357-1144
Mailing Address - Fax:847-357-9449
Practice Address - Street 1:810 BIESTERFIELD ROAD
Practice Address - Street 2:SUITE 306 - WIMMER BUILDING
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3378
Practice Address - Country:US
Practice Address - Phone:847-357-1144
Practice Address - Fax:847-357-9449
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209-005259367A00000X
IL209005259367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife