Provider Demographics
NPI:1013525088
Name:GARCIA, VIRGINIA (PESC)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PESC
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PESC
Mailing Address - Street 1:2 WESTBROOK CORPORATE CTR
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 WESTBROOK CORPORATE CTR
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5702
Practice Address - Country:US
Practice Address - Phone:708-216-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor