Provider Demographics
NPI:1285062448
Name:SZILAK, JUDITH M (LCSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:M
Last Name:SZILAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5635 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-3339
Mailing Address - Country:US
Mailing Address - Phone:815-344-2906
Mailing Address - Fax:815-344-2906
Practice Address - Street 1:5635 CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-3339
Practice Address - Country:US
Practice Address - Phone:815-344-2906
Practice Address - Fax:815-344-2906
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-28
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490032921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical