Self Empowerment Center, P.C.

LBN: Self Empowerment Center, P.C.
Self Empowerment Center, P.C. is an health care organization with primary practice located at 1751 S Naperville Rd Suite 207, Wheaton IL 60189-5896. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Self Empowerment Center, P.C. can be contacted via phone (630) 774-8316, or through Khan, Asif A via phone (630) 774-8316.

Contact Information

Primary practice address
1751 S Naperville Rd Suite 207 Wheaton IL 60189-5896
Fax: (630) 690-3353
Website:
Authorized official contact:
Name: Khan, Asif A PSY.D

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 071-005733 Illinois
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 071-005466 Illinois
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 071-005466 Illinois

Profile Details

NPI number 1134301815
LBN Legal business name Self Empowerment Center, P.C.
DBA Doing business as
Authorized official Khan, Asif A PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Sep 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134301815 NPPES
Illinois Other 01623115 BLUE CROSS BLUE SHIELD

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