Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eilis M. Fagan, LCSW PLLC

Organization Clinical Social Worker · NPI 1679259881

Eilis M. Fagan, LCSW PLLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5646 N Wayne Ave Apt 3
Chicago, IL 60660-0090
Phone: (708) 408-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1679259881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eilis Fagan — Pllc Manager · (708) 408-4003
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 6, 2023
Mailing address5646 N Wayne Ave Apt 3, Chicago, IL 60660-0090

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