Provider Demographics
NPI:1467865311
Name:PILEWICZ, KATARZYNA BLANKA
Entity Type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:BLANKA
Last Name:PILEWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KASIA
Other - Middle Name:
Other - Last Name:PILEWICZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC,CADC
Mailing Address - Street 1:208 PINE ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4827
Mailing Address - Country:US
Mailing Address - Phone:224-392-1575
Mailing Address - Fax:
Practice Address - Street 1:208 PINE ST
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4827
Practice Address - Country:US
Practice Address - Phone:224-392-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL28817101YA0400X
IL180.009107101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)