MEDICARE: MRS. AMY HELEN BILKA M.A., LPC, PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	178.007192	IL
2	103T00000X	Psychologist	071008661	IL

General Provider Information

NPI Number	:	1386930436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY HELEN BILKA M.A., LPC, PSY.D.

Provider Business Mailing Address
First Line	:	1755 PARK ST
Second Line	:	SUITE 300
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-4861
Country	:	US
Telephone Number	:	630-448-0701
Fax Number	:	630-983-4839

Provider Business Practice Location Address
First Line	:	1755 PARK ST
Second Line	:	SUITE 300
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-4861
Country	:	US
Telephone Number	:	630-448-0701
Fax Number	:	630-983-4839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	10/08/2013

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