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Contact Information

AMY WILEY MA LCPC P.C.
750 ALMAR PKWY
SUITE 205
BOURBONNAIS, IL60914-2315
 Phone: 815-939-4806
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for AMY WILEY MA LCPC P.C.

NPI # 1972953099
LBN Legal business name AMY WILEY MA LCPC P.C.
Authorized official AMY WILEY - (MENTAL HEALTH COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2016
Last updated 10/27/2016 - About 10 years ago
Identifiers
IL License # 180007352
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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