Provider Demographics
NPI:1760536189
Name:POPOVIC, LILIANA K (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:K
Last Name:POPOVIC
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:LJILJANA
Other - Middle Name:K
Other - Last Name:POPOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:2S360 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-1245
Mailing Address - Country:US
Mailing Address - Phone:630-393-2040
Mailing Address - Fax:630-393-2027
Practice Address - Street 1:500 ROOSEVELT RD STE 500
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-2600
Practice Address - Country:US
Practice Address - Phone:630-854-9165
Practice Address - Fax:630-658-0302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004195101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health