Cwiklinski, Amy Cassandra

Cwiklinski, Amy Cassandra is an individual health care provider with primary practice located at 420 West Grand Avenue , Lake Villa IL 60046. 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. Cwiklinski, Amy Cassandra can be contacted via phone (847) 356-3322.

Contact Information

Primary practice address
420 West Grand Avenue Lake Villa IL 60046
Phone: (847) 356-3322
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166001565 Illinois

Profile Details

NPI number 1700585379
LBN Legal business name Cwiklinski, Amy Cassandra
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2023
Last updated Mar 2nd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700585379 NPPES
Illinois MEDICAID 166001565

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