Willow Tree Therapy Center Pllc | |
1250 N Mill St Suite 102a Naperville IL 60563-6304 | |
(630) 448-0701 | |
Not Available |
Full Name | Willow Tree Therapy Center Pllc |
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Speciality | Psychologist |
Location | 1250 N Mill St, Naperville, Illinois |
Authorized Official Name and Position | Amy Bilka (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6304480701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Willow Tree Therapy Center Pllc 1250 N Mill St Suite 102a Naperville IL 60563-6304 Ph: (630) 448-0701 | Willow Tree Therapy Center Pllc 1250 N Mill St Suite 102a Naperville IL 60563-6304 Ph: (630) 448-0701 |
NPI Number | 1104282821 |
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Provider Enumeration Date | 01/11/2016 |
Last Update Date | 11/13/2021 |
Certification Date | 11/13/2021 |
Medicare PECOS PAC ID | 7517212525 |
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Medicare Enrollment ID | O20180615000330 |
Identifier | Type | State | Issuer |
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1104282821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 071008661 (Illinois) | Primary |
Provider Name | Amy H Bilka |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386930436 PECOS PAC ID: 6103054259 Enrollment ID: I20140116001596 |
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