| Prizm Behavioral Services, Pc | |
|
1112 S Washington St Suite 202 Naperville IL 60540-7959 | |
| (630) 848-1200 | |
| (630) 848-1208 |
| Full Name | Prizm Behavioral Services, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1112 S Washington St, Naperville, Illinois |
| Authorized Official Name and Position | Asmat Z Jafry (PSYCHIATRIST) |
| Authorized Official Contact | 6308481200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prizm Behavioral Services, Pc Po Box 2800 Naperville IL 60567-2800 Ph: (630) 848-1200 | Prizm Behavioral Services, Pc 1112 S Washington St Suite 202 Naperville IL 60540-7959 Ph: (630) 848-1200 |
| NPI Number | 1306007778 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 11/08/2016 |
| Medicare PECOS PAC ID | 8729147806 |
|---|---|
| Medicare Enrollment ID | O20081104000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306007778 | NPI | - | NPPES |
| 036114959 | Medicaid | IL |
| Provider Name | Asmat Zehra Jafry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881704062 PECOS PAC ID: 1850397068 Enrollment ID: I20061011000511 |
| Provider Name | Heta Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619427069 PECOS PAC ID: 5496011744 Enrollment ID: I20171102001640 |
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