| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 11/13/2021 |
| Certification Date | 11/13/2021 |
| Medicare PECOS PAC ID | 7517212525 |
|---|---|
| Medicare Enrollment ID | O20180615000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104282821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008661 (Illinois) | Primary |
| Provider Name | Amy H Bilka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386930436 PECOS PAC ID: 6103054259 Enrollment ID: I20140116001596 |
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