Healthcare Provider Details

I. General information

NPI: 1396664454
Provider Name (Legal Business Name): AMANDA KATHERINE KAPLAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MICHIGAN AVE FL 30
CHICAGO IL
60611-3964
US

IV. Provider business mailing address

1301 IVY LN APT 201
NAPERVILLE IL
60563-0495
US

V. Phone/Fax

Practice location:
  • Phone: 847-733-4300
  • Fax:
Mailing address:
  • Phone: 312-320-3084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166.012262
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: