Provider Demographics
NPI:1780299818
Name:BILIKOVSKY, SOPHIA (DACM)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:BILIKOVSKY
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 S MILWAUKEE AVE STE 78
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3227
Mailing Address - Country:US
Mailing Address - Phone:847-220-8573
Mailing Address - Fax:
Practice Address - Street 1:872 S. MILWAUKEE AVE.
Practice Address - Street 2:SUITE 78
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-6004
Practice Address - Country:US
Practice Address - Phone:847-220-8573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 101YA0400X, 133NN1002X, 101YM0800X, 101YP2500X, 172V00000X, 173C00000X, 174200000X, 225C00000X, 251J00000X, 261QP3300X, 373H00000X, 374U00000X, 174200000X
IL198.001512171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health Worker
No173C00000XOther Service ProvidersReflexologist
No174200000XOther Service ProvidersMeals
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No374U00000XNursing Service Related ProvidersHome Health Aide