Provider Demographics
NPI:1710405790
Name:VILIMEK, COURTNEY (LCPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:VILIMEK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8313 MENDING WALL DR
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-4521
Mailing Address - Country:US
Mailing Address - Phone:708-567-5760
Mailing Address - Fax:
Practice Address - Street 1:8313 MENDING WALL DR
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-4521
Practice Address - Country:US
Practice Address - Phone:708-567-5760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178011422101YP2500X
IL180.011682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional