Provider Demographics
NPI:1295369221
Name:ILKMEN, ELIF NISAN (AMFT)
Entity Type:Individual
Prefix:
First Name:ELIF
Middle Name:NISAN
Last Name:ILKMEN
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N ORLEANS ST STE 216
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3132
Mailing Address - Country:US
Mailing Address - Phone:312-478-6905
Mailing Address - Fax:
Practice Address - Street 1:820 N ORLEANS ST STE 216
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3132
Practice Address - Country:US
Practice Address - Phone:312-478-6905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health