Provider Demographics
NPI:1013065309
Name:BAKER, AMY RENEE STEWART (MA, LCPC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:RENEE STEWART
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3140
Mailing Address - Country:US
Mailing Address - Phone:708-528-3766
Mailing Address - Fax:
Practice Address - Street 1:1550 SPRING ROAD
Practice Address - Street 2:UNIT 106
Practice Address - City:OAKBROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1320
Practice Address - Country:US
Practice Address - Phone:708-528-3766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
IL180-004908101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional