| Self Empowerment Center, P.c. | |
|
1751 S Naperville Rd Suite 207 Wheaton IL 60189-5896 | |
| (630) 774-8316 | |
| (630) 690-3353 |
| Full Name | Self Empowerment Center, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1751 S Naperville Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Asif A Khan (PRESIDENT) |
| Authorized Official Contact | 6307748316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Empowerment Center, P.c. 1751 S Naperville Rd Suite 207 Wheaton IL 60189-5896 Ph: (630) 774-8316 | Self Empowerment Center, P.c. 1751 S Naperville Rd Suite 207 Wheaton IL 60189-5896 Ph: (630) 774-8316 |
| NPI Number | 1134301815 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 09/02/2008 |
| Medicare PECOS PAC ID | 1254407117 |
|---|---|
| Medicare Enrollment ID | O20080829000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134301815 | NPI | - | NPPES |
| 01623115 | Other | IL | BLUE CROSS BLUE SHIELD |
| Provider Name | Asif A Khan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194907881 PECOS PAC ID: 9537235494 Enrollment ID: I20080829000474 |
| Provider Name | Yasmeen Khan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417139106 PECOS PAC ID: 5092099226 Enrollment ID: I20170307000271 |
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