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

Eilis M. Fagan, LCSW PLLC

Organization Clinical Social Worker · NPI 1679259881

Eilis M. Fagan, LCSW PLLC provides Clinical Social Worker services 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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