Provider Demographics
NPI:1427791821
Name:KASUM, BILJANA (LCPC)
Entity type:Individual
Prefix:
First Name:BILJANA
Middle Name:
Last Name:KASUM
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CARRIAGE WAY DR APT 214B
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5733
Mailing Address - Country:US
Mailing Address - Phone:312-605-6776
Mailing Address - Fax:
Practice Address - Street 1:124 CARRIAGE WAY DR APT 214B
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5733
Practice Address - Country:US
Practice Address - Phone:312-605-6776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017507101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health