Bevacqua, Amanda

Bevacqua, Amanda is an sole proprietor health care provider with primary practice located at 2334 W Lawrence Ave Suite 212, Chicago IL 60625-1948. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bevacqua, Amanda can be contacted via phone (773) 988-5147.

Contact Information

Primary practice address
2334 W Lawrence Ave Suite 212 Chicago IL 60625-1948
Phone: (773) 988-5147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000656 Illinois

Profile Details

NPI number 1023336088
LBN Legal business name Bevacqua, Amanda
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2010
Last updated Aug 6th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers