Provider Demographics
NPI:1104282821
Name:WILLOW TREE THERAPY CENTER PLLC
Entity type:Organization
Organization Name:WILLOW TREE THERAPY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BILKA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-448-0701
Mailing Address - Street 1:1250 N MILL ST
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-6304
Mailing Address - Country:US
Mailing Address - Phone:630-448-0701
Mailing Address - Fax:
Practice Address - Street 1:1250 N MILL ST
Practice Address - Street 2:SUITE 102A
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-6304
Practice Address - Country:US
Practice Address - Phone:630-448-0701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008661103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty